2009-06-30_REPORT - M1976020 - Laserfiche WebLink

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PP ? ?fflT_ ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Oldcastle SW Group, Inc dba Four Corners Materials PERMIT NO.: M-1976-020 ? RECEIVED OPERATION NAME: Thomas Pit I JUN 3 0 2009 ANNIVERSARY DATE: July 28, 2009 '? Division of Reclamation, ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) Mining and Safety COUNTY: La Plata 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 report and map showing the extent of current disturbances to affected land, -----reclamation-accomplished-to-date an&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 attach your revised written annual report and annual report map to this form The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map. If no new disturbances or reclamation have occurred during the previous year and no new changes to this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Peter M. Kearl Permittee Name: Oldcastle SW Group, Inc dba Four Corners Materials Address: P.O. Box 1969 Bayfield, CO 81122-1969 Phone Number: (970) 247-2172 Fax Number: (970) 259-3631 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. Signature of Corporat Officer, Owner, or Designee /Z9/o9 Date