2004-07-14_REPORT - M1998024

• Permit No: M1998024
• IBM Index Class Name: Report
• Doc Date: 7/14/2004
• Doc Name: Annual Fee/Report/Map
• From: Oldcastle SW Group Inc. dba B & B Excavation
• To: DMG
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNPJERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Oldcastle SW Group, Inc. d.b.a. B & B Excavatiug
M-1998-024
Hidden Valley Gravel Pit
August 3, 2004
$b88.00 (Due on or before your anniversary date)
Eagle

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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,
- reciamatiar[-accomplished-to-date-and-during-tl~s-prPCCding-yea~new_disturbances_that~re anticinated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates far the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ym~r r .wised written anneal rennrt and anneal rernrt m~ to this form- 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,
Address:
Phone Number:
P.O. Box 1729
Edwards, CO 81632
[phone]
Fax Number:
[phone]
/~~
Inc. d.b.a. B & B Excavating
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this farm along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
Date