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AF <br />ANNUAL EE and REPORT REoVEST $ZECE <br />sVED <br />?P?2?2?;j <br />PERMITTEE NAME: VfFremont County 13I000n of Ree?arotolic)" <br />PERMIT NO.: v4-1999-033 4-0 Mining & Safety <br />OPERATION NAME: Howard Pit #1 & #2 <br />ANNIVERSARY DATE: May 26, 2011 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <br />-- According- to--C-R-S. 34-32.5-116 or- C:R S- 34-32=116, _each_year,.on-Ahe_anniversar-y_date -of -the-permit,- an_ _ <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous vear's map are necessarv. then no new map is reauired. provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Paul Garrett <br />Pennittee Name: Fremont County <br />Address: 615 Macon Ave., Rm. 105 <br />Paul Garrett <br />Fremont County <br />Canon City, CO 81212 <br />Phone Number: (719) 942-4234 <br />Fax Number: (719) 276-7321 <br />Canon City, CO 81212 <br />719) 275-204' <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />ennc°lo <br />Sign ure of Corporate Officer, Owner, or Designee <br />y?/// 0/// 0// <br />Date <br />M:IPERMITIMASTERDOC UMENTSW-AF-04