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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />O-dcastle SW Group, Inc. dba Four Corners Materials <br />M-1980-228 <br />Triangle One Pit <br />Apri127, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Archuleta <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 accomplisne o ate an unng t e preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annnal repo and ann gal r .port main to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Marcia L. Talvitie <br />Permittee Name; Oldcastle SW Group, Inc. <br />dba Four Comers Materials <br />Address: P.O. Box 2707 <br />Durango, CO 8 1 3 02-2 707 <br />Phone Number: (970) 247-2172 <br />Fax Number: (970) 259-3631 <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 enclosed. <br />Signa~Co~ te~ er, o Designee <br />zz gc~is~zaio <br />Date -o <br />