2015-08-25_REPORT - M1987079

• Permit No: M1987079
• IBM Index Class Name: REPORT
• Doc Date: 8/25/2015
• Doc Name: Annual Fee, Report & Map
• From: All-Rite Paving & Redi-Mix
• To: DRMS
• Email Name: AME
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
John P
Sal., �e�truloer
Permittee Company:
-RITE PAVING & REDI-
MIX, INC.
Address:
P.O. Box 165
Canon City, CO81215
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
' Ocu @ "Q4
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducteJJi accordVnce with the Division approved mining and reclamation plans.
Owner, or Documented Designee Date
M -AF -01