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~k <br />ri <br />III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />RECE/~F;~® <br />PERMITTEE NAME: RBK Construction, Inc. <br />PERMIT NO.: M-1990-106 OCT 2 5 ?~~, <br />OPERATION NAME: RBK Pit No. 30 0iV18100 °t ~1°ertte and Geal°gy <br />ANNIVERSARY DATE: October 16, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUNTY: Pueblo <br />_ -According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note thnt nn ndequntely labeled mnp t{tat clearly delineates and includes the above eletttents may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided• <br />ContactNamd:l~/l~tA~Wt~I'/I~cSTk~ Company: XcL~7~.~~L--~OIC~,~~'' <br />Addres ~ `~U d~ ~71o Phone No.: (7~~/ ) ~~/ - 3~~'~ <br />-- - - - `fie' ~0 8(d~q_ - FAX No.: (~(~1 1 S~~~/ ' ozo76~_ <br />e-maiL• <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it [o this report form along with your map and/or written <br />report. <br />ignature of Corporate Officer, or Owner Date // <br />INSTRUCTIONS ON BACX <br />M:W ERMnN1ASTERD000M EM'SM7-AF-01 <br />