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13-MAR-2006 16:32 FROM-Colorado Division of Minerals & Geolaay +13036326106 <br />T-916 P.003/003 F-612 <br />PERMI'I7'EE Nt1ME: Traus Colorado Concrete a Division of Pete Lien & Sons, Iac. <br />PERMIT NO,: M-2004-013 <br />OPERATION NAME: St. Barbara Sand and Grave! Mine <br />ANNIVERSARY DATE: Apri15, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY; Pueblo <br />According to C.R.S. 34-32.5.116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the daces for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach err revieed Wl'ttten annnal report anA ann rat rennrt man to thin form. p1eaSN mote that ari <br />adequately tabrled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following perntittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Joel Brannan <br />Permittee Name: Trans Colorado Concrete a Division of Petc Lien & Sons, Inc. <br />Address: 3401 Universal Dr. <br />P.O. Box 440 <br />Rapid City, SD 57709 _ <br />Phone Number: (605) 342-7224 <br />Fax Number: .{6&Sj~42~9T2 LcU$'3YL' (,97~ <br />if you have additional comments andlor information that should be provided [o 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 />treloiesa.~n5 <br />f+j~e .~'s,i19v ?e>teL.~'e., r .Soar Z~. <br />Sign re of Corporate Officer, Owner, or Desigree <br />_ 3/?t/oc. <br />Date <br />