2011-11-07_REPORT - M1998013 (3)

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2011 -11 -02 03:32 DRMS 3038328106 » PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNIVERSARY DA "1'E: ANNUAL. FEE DUE: COUNTY: Please attach Permittcc Name: Address: our revised written annual re Signature of Corp rate Officer, Owner, or Designee Date Fax Server ANNA FEE'an ORT REQUEST all Irwin Corporation M- 1998 -013 The Shores October 1, 2011 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 shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year, -new disturbances_ that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated ma . If no new disturbances or reclamation have occurred during the previous year and no new chances to the previous car's ma are necess then no new map is re uired provid t hat the Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements May suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittec Contact: ner- arland [tall Irwin Corporation- Ac g 301 Centennial Drive - Milliken, CO 80543 $$791.00 (Due on or before your anniversary date) Weld ors and annual re ort ma a, NOV 07Z 0p1 L Olviel fReclam � Tv Mining Safely Phone Number: (970) 587 -7277 Fax Number: (970) 587 -7287 If you have additional comments and /or information that should he provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. P 2/2 t1P-.