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,. <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />-9?1- <br />AF " / RECEIVED <br />ANNUAL FEE and REPORT REOUEST <br />? <br />P Oldcastle SW Group, Inc. d.b.a. B & B Excava <br />?M-1998-024 tingAUG 0 ? 2008 <br />// ion of Reclamation, <br />Mining and Safety <br />Hidden Valley Gravel Pit <br />August 3, 2008 <br />$791.00 (Due on or before your anniversary date) <br />Eagle <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 shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />accomplished. to-date-and-during the preceding year,-new-disturbances-that are anticipated to occur during the upcoming <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the <br />date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form. The Annual Report & Fee <br />requirement is not met until we have received the following components: fee, report, and associated map. If no <br />new disturbances or reclamation have occurred during the previous year and no new changes to the previous <br />year's may are necessary, then no new map is required, provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary 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: (970) 926-2344 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of C orate Officer, wner, or Designee <br />7.2 ? v <br />Date