2005-10-06_REPORT - M1990106

• Permit No: M1990106
• IBM Index Class Name: Report
• Doc Date: 10/6/2005
• Doc Name: Annual Fee/Report/Map
• From: RBK Construction Inc.
• To: DMG
• Media Type: D
• Archive: No

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PERM[TTEE NAME:
PERIVIIT NO.:
OPERATION NAME:
ANNIVL'RSARY DATE:
ANNUAL FEE DUE:
COUNTY':
RBK Consh~uctimr, Inc.
~i940-106
12BK Pit No. 30
October 16, 2005

tom' ' ! ~ U 2CC5
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$281.00 (Due on or bei'ore your anniversary date)
Pueblo
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
shall submit the annual fee, a reporC 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 attaG~~~ur revised written annual report and annual report m~ to this form Please note Oia! an
adequatel}~ labeled map that clenrl3~ deli~zeates rind includes the nbove eleme»ts may si ffice for a written reprn~t.
Division records indicate the following permittee contact information. Please verity and make any necessary
changes:
Pe~mittee Contact: Ronda Neumeister
permittee Name: RBK Construction, Inc.
Address: P.O. Box 376
Rye, CO 81069
Phone Number: [phone]
Fax Number- [phone]
f you ave additional co menu and/or information that should be provided to the Division, please provide it
below r attach it to this fo m along with yo~wriiten report and map. Annual Report ins[nictions are enclosed.
of
ANNIIAT FF';i, and REPORT RF,O[IFST
Owner, or
Date