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?; ? ?m?c o7L <br />w. <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />L FED and PORT REQUEST <br />t- K Construction, Inc. <br />?/1VI-1990-106 <br />RBK Pit No. 30 <br />October 16, 2009 <br />Division of Reclamation, <br />-yo Mining and Safety <br />$$323.00 (Due on or before your anniversary date) <br />Pueblo <br />?1VE® <br />VSEP 3 0 2000 <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, reel-amation that will Ke performed during the ooming year,-the-dates for-the-begi:rnirg-- <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 />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous vear'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 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: Ronda Neumeister <br />Permittee Name: RBK Construction, Inc. <br />Address: P.O. Box 376 <br />- -_ ?- --- - - _?___- -- - --- <br />-.Rye; CO- 8-1069 <br />Phone Number: (719) 489-3385 <br />Fa,,x,Number: (719) 489-2268 <br />If yo'have addit? omments and/or information that should be provided to the Division, please provide it <br />belowjd? attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />for Designee <br />-t-?x!09 <br />Date