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~~~ <br />~; ~, , ' 7`, O' <br />ANNUAL FEE and REPORT REQUEST ~` <br />PERMITTEE NAME: Oldcastle SW Group, Inc dba Four Corners Materi~s,~'~,~~'~a O~ <br />00, Ord off` <br />PERMIT NO.: M-1987-038 s~ ~ fo~ <br />OPERATION NAME: Bayfield Pit No. 1 ' <br />ANNIVERSARY DATE: November 15, 2007 <br />ANNiJAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: La Plata <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 dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />mau. If no new disturbances or reclamation have occurred during the previous vear and no new changes to <br />the_previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may 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: Marcia Talvitie <br />Permittee Name: Oldcastle SW Group, Inc dba Four Corners Materials <br />Address: P.O. Box 2707 ~°• 4. Box /9lv 9 <br />Durango, CO 81302-2707 <br />Phone Number: (970) 247-2172 <br />~~y~i~c~. Co Be/zz -!4~ 9 <br />Fax Number: lg~p~ ~Jr" 9-3~P~/ <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 ,~ <br />Signa re of Corporate /Officer, Owner, or esignee <br />zi - Nov zov7 <br />Date <br />.; <br />