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~~ <br />~~; ~~ <br />ANNiiAi. FF,F and RFP(1RT RF,nirTF,.~S,~T,_ - <br />PERMTTTEE NAME: B/ig R Construction Company T' "' °` <br />PERMTI' NO.: 9VI-1988-052 <br />OPERATION NAME: Big R Pit <br />ANNIVERSARY DATE: August 16, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Elbert <br />~-~9- o <br />,' ~ ~G <br />According to C.R.S. 34-32.5-I 16 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 ]and, <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 ymrr revised written anneal re,Qnrt and anneal re,Qnrt 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: Rick L. Hunt <br />Permittee Name: Big R Construction Company <br />Address: 43160 CR 17-21 <br />Elizabeth, CO 80107 <br />Phone Number: (303) 646-6486 <br />Fax Number: (303) 646-9233 <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 />gnature of Corporate Officer, Owner, or Designee <br />Date <br />