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~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />~/Big R Construction Company <br />/ M-1988-052 <br />Big R Pit <br />August 16, 2006 <br />RECEIVED <br />auc o s Zoos <br />Division of Reclamation, <br />Mining and Safety <br />$281.00 (Due on or before your anniversary date) <br />Elbert <br />~t~ <br />I <br />i <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 f~e,_a report and, map .showing the_extent of current disturbances to_affected land, <br />_ r_eclam_atio_n_ac_co_mplished to date and during the preceding year, new disturbances that are anticipated to_ 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 man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick L. Hunt <br />Pennittee Name: Big R Construction Company <br />Address: 88 Inverness Cir. E, Unit B 101 <br />Englewood, CO 80112-5505 <br />Phone Number: (303) 646-6486 <br />Fax Number: (303)646-9233 <br />~_~ I ~~ Cou-Y-~-I.2~ 17-a-1 <br />gab-e`~'l~ , CO D / U`~1 <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 t~ form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />A-~ ~~ <br />Date <br />