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fit, <br />A~ ~ ~~ <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT RE VEST <br />RBK Construction, Inc/. <br />M-1990-106 k./ <br />RECF-1iF <br />NOV p 8 ' D <br />C <br />RBK Pit No. 30 <br />October 16, 2007 <br />Division of ReclT 0p, ~ _ <br />Mining and amation, <br />Safety <br />$$323.00 (Due on or before your anniversary date) <br />Pueblo <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 the 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 thafare anticipatea'fo 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 vour 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 durine the previous year and no new changes to <br />the previous year's moo 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: Ronda Neumeister <br />Permittee Name: RBK Construction, Inc <br />Address: P.O. Box 376 <br />Rye, CO 81069 <br />Phone Number: (719) 489-3385 <br />Fax Number: (719) 489-2268 <br />If you have ad ' io 1 comments and/or information that should be provided to the Division, please provide it <br />b~towpr attach t to this fexm along with your written report and map. Annual Report instructions are enclosed. <br />S~gnature of Corporate Officer, Owner, or Designee <br />/o~l~~a~ <br />Date <br />