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/ rcO <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: -Oldcastle SW Group, Inc. dba Telluride Gravel <br />.,,., 1L4 REC <br />PERMIT NO.: --`M-1976-032 OPERATION NAME: Alexander Pit -"JUN 0 6 2008 <br />.,Division or Rtciamation, <br />ANNIVERSARY DATE: June 17, 2008 Mining and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: San Miguel <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 man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred durinL the previous year and no new changes to <br />the previous year's neap 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 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: Greg Homan <br />Permittee Name: Oldcastle <br />Address <br />Drawer U <br />SW Group, Inc. dba Telluride Gravel <br />Cortez, CO 81321 <br />Phone Number: (970) 728-3775 <br />Fax Number: (9170) 728-3015 <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 />ignature o C rporate Officer, Owner, or Designee <br />-Z Date <br />op