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Received ;vu <br /> ' / <br /> n ,~ ~ <br />) JUL 2 7 2007 <br /> C-~.' <br /> J <br />/ <br />AN AL FEE and REPORT REQUEST /Cautsnga Flatd Qfiice <br /> ian of Rectansation, <br />PERMITTEE NAME: ~ Oldcastle SW Group, Inc. dba Four Corners Ma er~i s~ <br />PERMIT NO.: ~I-1976-020 RCn~ <br /> <br />OPERATION NAME: <br />Thomas Pit ~~~D <br /> AUG O <br />ANNNERSARY DATE: July 28, 2007 0 2OO) <br /> Division of R <br /> <br />ANNUAL FEE DUE: eclamation, <br />$$688.00 (Due on or before your anniversary date) Mining and S <br /> afety <br />COUNTY: La Plata <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 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 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 yeaz, if any. <br />Please attach vour revised written annual report and annual resort map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If uo new disturbances or reclamation have occurred durinti the previous vear and no new chanties to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that cleardy delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Marcia L. Talvitie <br />Permittee Name: <br />Address: <br />Oldcastle SW Group, Inc <br />P.O. Box 2707 <br />Durango, CO 81302-2707 <br />Phone Number: (970) 247-2172 <br />Fax Number: (970) 259-363 t <br />dba Four Corners Materials <br /> <br />~yF~e~d, ~ e/izz <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 />~' _CLGP.l~L~4/ll~G~iy <br />Signature of Corporate Officer, Owner, o esignee <br />~~7 <br />Date <br />