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~~S ~ ANNUAL FEE and(REPORT OUEST ',/.l G O !1 206 PERMITTEE NAME: ~ Oldcastle SW Group, Inc. d.b.a. B & B Excavatin~iv'S'a" °vAtlJMincra~s one Cmclogy PERMIT NO.: ~ M-1998-024 OPERATION NAME: Hidden Valley Gravel Pit ANNIVERSARY DATE: August 3, 2006 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Eagle According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 lb, each year, on the anniversary date of the permit, an operator _ ` shall submit the annual fee, a report and map showing the extent_of ourrent_disturbances_1o. 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 your revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, renort, and associated maa (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since 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. Box 1729 Edwards, CO 81632 Phone Number: (970) 926-3311 Fax Number: (970) 926-2344 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. ~'~ Signature Corporate Officer, Owner, or Designee /~~ Date i~