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<br />ANNUAL REPORT <br />PERMITTEE NAME: RBK Construction Inc <br />PERMTf NO.: M-90-106 <br />OPERATION NAME: RBK Pit No 30 <br />ANNIVERSARY DATE: October 16, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Pueblo <br />According to C.R.S. 34-32-116(3)(x), each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that nn ndegnately labeled Wrap drat clearly delineates and <br />includes the above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact e: 'i' Company: ~~ ~ ~~ <br />Addr ~ ~ 3/7n~ Phone No.: l - ~~'~0 <br />~°, r ~rld ~ 7 Fax No.: (7I ~ ) 9 ~ °7~[N <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />ld q <br />Stg azure of C rporate Officer, or Owner Date <br />/NSTRUCT/ONS ON BACK <br />