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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: B & B Excavating, Inc. OIdC8St~9 SW GIY)Up, InCi. <br />d.b.a. s & B Excavatir~ECEIVED <br />PERMIT NO.: M-1986-104 <br />OPERATION NAME: Montgomery Pit JUL 1 1 2003 <br />ANNIVERSARY DATE: May 24, 2003 <br />Girision ~f Minerals and Geology <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Eagle <br />According to C.R.S. 34-32.5-1 ] 6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the. annual fee, a report and map showing the extent of current disturbances [o affected land, <br />reclamation accomplished 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 your revised written annual report and annual report map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Seett~Feover- <br />Permittee Name: B & B Excavating <br />Address: P ^ ~ea~~er~l4-- <br />Vai 9 ET658 <br />Phone Number: (970) 926-3311 <br />Fax Number: (970) 426-2344 <br />J1~~ auR1c~Y <br />D(1JC/dSriE .S-taJ l:PatP Tai dbc t~~i <br />Eicc%11/Ari+~L- <br />P u./~t~~ )~z~ <br />~ow~2n~, cv ~~~3L <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 this form along with your written report and map. Annual Report instructions are enclosed. <br />~ / 9~ <br />Signre of GC/orporate Officer or Owner <br />7~J/o 3r <br />Date <br />M:IPERMITN1ASTERDOCIIMENTSIM-AF-01 <br />