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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />RBK Construction, Inc. <br />M-1990-106 <br />RBK Pit No. 30 <br />October 16, 2004 <br />RECEIVE® <br />OCT 1 31004 <br />Division a! Minerals and Geofagy <br />$281.00 (Due on or before your anniversary date) <br />Pueblo <br />~ <br />According to C.R.S. 34-32.5-I 16 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, 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 />pace attach yonr revised written anneal rrnort and anmial rennrt maR to this form- Please note [hat 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 infonnation. 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 />Rye, CO 81069 <br />Phone Number: (719) 489-3385 <br />Fax Number: (719) 489-2268 <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 thjs-fermi along with your written report and map. Annual Report instructions are enclosed. <br /> <br />