2003-09-12_REPORT - M1997026

• Permit No: M1997026
• IBM Index Class Name: Report
• Doc Date: 9/12/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

SEP 12 2Q~3
DirWoa dl~nrals and tlaalo0y
PERMITTEE NAME: Oldcastle SW Group, Inc. d.b.a. B & B Excavating
PERMIT NO.: M-1997-026
OPERATION NAME: Carol Ann Pit
ANNIVERSARY DATE: September 8, 2003
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Eagle
According [o 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
__ _ shall submit the annual fee,_a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach Ynnr revised written annnal regprt and annnal rennrt m~ to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Jason Burkey
Permittee Name: Oldcastle SW Group, Inc. d.b.a. B & B Excavating
Address: P.O.1729
Edwards, CO 81632
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this Form along with your written report and map. Annual Report instructions are enclosed.
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Signature f Corporate fficer, Owner, or Designee
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Date
M:IPERMITVNASTERD000M EMSVN-AF-01