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lr~ <br />PERMITTEE NAME: <br />PERMTf NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~~ M t <br />ANNUAL FEE and REPORT REQUEST <br />/All Rite Paving and Redi-Mix, Inc. <br />/'lvI-1999-005 <br />North River Pit <br />July 14, 2007 <br />RECEIVED <br />~JUL 12 2007 <br />piv' ion of Reclamation, <br />Mining and Safety <br />$$688.00 (Due on or before your anniversary date) <br />Otero <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 />shalt-submit the-annual-fee, -a -report and-map'showiug 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 durinc the previous year and no new chances 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 Annaal Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Denise Gonzales <br />Permittee Name: All Rite Paving and Redi-Mix, Inc. <br />Address: P. O. Box 1128 <br />La Junta, CO 81050 <br />Phone Number: (719) 383-2600 <br />Fax Number: (719) 383-2Z I 1 <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 aze enclosed. <br />i~ <br />Si ature of Corporate Officer, Owner, or Designee <br />~-~1- ~ -~ <br />Date <br />