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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />,A'F * PST <br />ANNUAL FEE and REPORT RE ST <br />Diamond B Enterp?, LLC <br />M-2000-047 <br />Diamond Rock Pit <br />February 25, 2008 avflg <br />$$323.00 (Due on or before your anniversary date) <br />Huerfano <br /> <br />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 <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />---,reclamation-aeconzp lashed to date and duri . -the-precedingYear new distdr5arces L eL are anticipated of -occur <br />-- - <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 may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 />Permittee Contact: Anthony A. Blasi <br />Permittee Name: Diamond B Enterprises, LLC <br />Address: 38043 CR 32.4 <br />Trinidad, CO 81082 <br />Phone Number: (71 }$45-9-? <br />Fax Number: - <br />?l r/ - 1 qS <br />C/ - Y-1/ '1/ 0 - <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 />S' a re of Corporate Officer, Owner, or Designee <br />®s <br />Date