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14-F Or <br />REQUEST <br />A AL FEE and RE RT <br />PERMITTEE NAME: ` Trans Colorado Concrete a Division of Pete Lien & Sons Inc. <br />PERMIT NO.: ?-2004-013 <br />OPERATION NAME: St. Barbara Sand and Gravel Mine AR 3 0 2010 <br />ANNIVERSARY DATE: April 5, 2010 Div? ®r rteciarnaow, <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) and 8d-" <br />COUNTY: Pueblo <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 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 />Please attach your revised written annual report and annual report map 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 may 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: Joel Brannan <br />Permittee Name: Trams Olarada E;eneTele---a Divisionof Pete Lien & Sons. Inc. <br />Address: 3401 Universal Dr. <br />P.O. Box 440 - <br />Rapid City, SD 57709 <br />Phone Number: (605) 342-7224 <br />Fax Number: (605) 342-6979 <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.