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q-~~s--~ <br />-~S <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: /~Oldcastle SW Group, Inc. d.b.a. B & B Excavating <br />PERMIT NO.: r/ M-1997-026 <br />OPERATION NAME: Carol Ann Pit <br />ANNIVERSARY DATE: September 8, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Eagle <br />REC~~`~/ED <br />~SEP 0 7 2006 <br />Division of Reclamation, <br />Mining and Safety <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-dwing the preceding year, new di;~urbances 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 vour revised written annual report and annual report mau to this form. The Anuual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />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: Jason Burkey <br />Permittee Name: Oldcastle SW Group, Inc. d.b.a. B & B Excavating <br />Address: P.O. Box 1729 <br />Edwards, CO 81632 <br />Phone Number: (970) 926-3311 <br />Fax Number: <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 />~.~~``` p B A ~B ~~'''., <br />Signature o C orate Office wner,anDesigiiee Ff <br />/~ '~i •t= <br />7.0; ''~1 ~~\~ <br />Date ~~~~,~J / ~Q;:~?a <br />~~~9'~ ;u~J 0~~"~~`P~ <br />