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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />r <br />FEtan RE (QZTREQUEST <br />4 Running Creek Ranch <br />-1985-003 <br />Freund Pit <br />RECEIVED <br />1AR 08 2011 <br />Division of Resiamatiaa, <br />C?v Mining & $akly <br />April 22, 2011 <br />$$791.00 (Due on or before your anniversary date) <br />Elbert <br /> <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit--1h.P,_annual _fee, a report and map showing the_ extent of current disturbances to affected land, _ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee N <br />D. Fre d <br />Creek Ranch <br />Address: 15460 E Batavia Dr <br />Aurora, CO 80011 <br />Phone umber: (303) 341-9310 <br />Fax N ?ber: (303) 360-8332 <br />If y /u have additional comments and/or information that should be provided to the Division, please provide it <br />be ow or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />;nature of Corporate Officer, Owner, or Designee <br />3-;7 .// <br />Date <br />