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IIIIIIIIIIIIIIIIIII ~ ~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REpUEST <br />B & B Excavating,Inc. <br />M-1986-104 <br />Montgomery Pit <br />May 24, 2001 <br />RECEIVED <br />MAY 3 0 2001 <br />Division o- Minerals and Geology <br />$550.00 (Due on or before your anniversary date) <br />Eagle <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation th8[ will be performed during the coming year, [he dates for the <br />beginning of active operations, and the date active operations ceased for the year, ifany. <br />Please attach your revised written annual report and annual reuort man to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since jor n written <br />reporl. <br />Division records indicate the following permittee contact information. Please verity and make any necessary <br />changes: <br />Permittee Contact: <br />Permittee Name: <br />Address: <br />Scott oover <br />B B Excavating,lnc. <br />P.O. Dr ver 49 <br />Vail, 081658 <br />.JASON IBURKE'! <br />P 0• aox /729 <br />~Q1/ARQ$ GD S/63Z <br />Phone Number: (970) 926-3311 <br />Fax Number: (970)A?6=2344 g70 926 Zc3S~t} <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />belo>v or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />,}~ ~ <br />Signature of Corporate Of tcer or Owner <br />y//~/o <br />Date <br />M.NERMITMASTERDOCIIMENTSNI-AF-01 <br />