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ANNUAL FEE and REPORT REQUEST <br /> <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />B & B Excavating,Inc. <br />M-1986-104 <br />Montgomery Pit <br />May 24, 2002 <br />MAY 2 8.2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Eagle <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator <br />-- - -shall-submit, the_anm~al _fee,_ a_report_and_map_showing_the_extent_of_currenLdisturbances .to_ affected. land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming 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. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessazy <br />changes: <br />Permittee Contact: ~eett-I4eavET"- <br />Permittee Name: B & B Excavating~~. <br />Address: u ^~ctroyo~== <br />Vai 58 <br />Phone Number: (970) 926-3311 <br />Fax Number: (970) 426-2344 <br />JASotJ (3urz~y <br />~~C/.LST/! St~~iPallp Ttt)G GIIbG ~~ <br />_--. Excftl/Aru~L <br />P O,/3nx 17Z~i <br />EaW~2o~ Gd ,Q/~32, <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 />~~ <br />Signri; of`C~orporate Officer or Owner <br />7~J~0 ~ <br />Date <br />MiPERMITN~IASTERDOCUMENTSN-7-AE-01 <br />