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ANNUALFELf and REPORT RE QUEST <br />PERMITTEE NAME: AGCC Rio Grande, Inc. <br />PERMIT NO.: vM-2002-004 <br />OPERATION NAME: Red Rock Plant & Limestone Mine P-IAUG 2 9 2008 <br />ANNIVERSARY DATE: August 29, 2008 i1fis(e'1 CJ' !- la?ation, <br />Mining and Safety <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <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 corning 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 during the previous year and no new changes to <br />the previous year's may 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: Brian McGill <br />Permittee Name: GCC Rio Grande, Inc. <br />Address: P.O. Box 8328 <br />Pueblo, CO 81008 <br />Phone Number: ( 647-680 <br />l l 4 - <br />0/ <br />Fax Number: R-4.9}{64??6$ ? q A 7- g <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 />L", - W? j - <br />Signature of Corpora fficer, Owner, or Designee <br />?/'? bP <br />Date