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19/24/2007 11:00 FAX 970+565+3390 TELLLiRIDE GRAVEL ~ <br />SEP-13-2007 10:2TAM FROIrrDIV RECLAMATIWt lAINING 8 SAFETY 3038328102 T-469 P.002/002 F-3T8 <br />ANN[lAI.1:EE and REPORT REQUEST <br />PERMITTF_E NAME: Oldcastle SW Group, Inc. dba Telluride Gravel <br />PERMIT NO.: M-1976-032 <br />OPERATION NAME: Alexander Pit RECEIVED <br />ANNIVERSARY DATE: June 17, 2007 0~ O ,~ 2007 <br />ANNUAL-FEE AUE: $$791.00 (Due on or before your anniversary da~}1a1on Cf ReGamation, <br />~U~Z': San Miguel A?lrting and Safety <br />According to C.1LS. 3¢325-116 or C.R.S. 3432-116, each year, on the anniversary date of the pcrtnjt, irn operator <br />shall submit the annual fee, a report and map showing the extent of current disntrbattce9 to affected land, <br />reclamation accomplished to daft and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed dttriag 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 voar revised written annual report and annual report man to this form The Annual Report <br />& Fee requirement Is not met nnlil we have received the following components: fee, report. and associated <br />map. if no new disturbances or~eclamation have occurred during the previous veer and ae new rhanoec r~ <br />mts w the Annual Retort. Please note rhaz an adequately labeled m¢p chat clearfy del3neares and <br />¢bove elements may srrfjice jot a written report. <br />Division tt;cords indicate the following pcrmittee contact information. Please: verify and make any necessary <br />changes: <br />Pernoittee Contact: Greg Homan <br />Permittee Namo; Oldcastle 5W <br />Address: Drawer U <br />Cortea, Cd 81321 <br />Phone Number. (970) 728-3775 <br />Fax Number: (970) 728-3015 <br />Group, Tnc. dba Telluride Gravel <br />H you have additional comments and/or information that should be provided t0 the Division, please provide it <br />below or attach it to thjs form along with your written report and map. Annual 1Leport insffuctions are enc]osed. <br />Srguahse of tutu OffiCQs OWner, oI Designee <br />9-Z~-~7 <br />Date <br />