2007-08-20_REPORT - M1998024

• Permit No: M1998024
• IBM Index Class Name: Report
• Doc Date: 8/20/2007
• Doc Name: Annual Fee/Report/Map
• From: Oldcastle SW Group, Inc. d.b.a. B & B Excavating
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

1
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ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME: ^ Oldcastle SW Group, Inc. d.b.a. B & B Excavating
PERMIT NO.: ~M-1998-024
OPERATION NAME: Hidden Valley Gravel Pit
ANNIVERSARY DATE: August 3, 2007
ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date)
COUNTY: Eagle _
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~~ ~ ~' 2007
~D d~sion of Fteclamatian,
Plinin0 and Safety
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 .and 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 vear and no new chances to
the previous year's map are necessary. then no new map is required. provided that the Operator shall state
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: Jason Burkey
Permittee Name: Oldcastle SW Group, Inc. d.b.a. B & B Excavating
Address: P.O. Box 1729
Edwards, CO 81632
Phone Number: [phone]
Fax Number: [phone]
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.
of Corporate Officer, Owner, or
Date
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