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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: B & B Excavating, Ine. RECEI VEp <br />PERMIT NO.: M-1998-024 AUG 0 5 ~ <br />OPERATION NAME: Hidden Valley Gravel Pit <br /> Division of Minerals arM Geologlr <br /> <br />ANNIVERSARY DATE: <br />August 3, 2002 . <br />ANNUAL FEE DUE; $688.00 (Due on or before your anniversary date) <br />COUNTY: Eagle <br />According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, each year, on the anniversazy date of the permit, an operator <br />-shall submit-the-annual-fee,-a-repent-and-:nap-showing-the-extent of-current disturbances-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 vour revised written annual report and annual report map 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 necessary <br />changes: <br />Pertnittee Con[act: Jason Burkey <br />Permittee Name: xc /~•a• B & B ~/~7 ~~(~9 <br />Address: P O Drawer 523 C2 ~( / / ~T <br />Edwards, CO 81632 <br />Phone Number: (970) 926-3311 <br />Fax Number: (970) 926-2344 <br />If you have additional comments and/or information that should be provided to the Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />SignaJa of Corporate Officer or Owner <br />7/3 ~/oZ <br />Date <br />M 1PERMITVNASTERD000MENTSU-I-AF-OI <br />