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h <br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont Paving &Redi-Mix, Inc. <br />PERMTI' NO.: M-1980-224 <br />OPERATION NAME: McKenzie Pit <br />ANNIVERSARY DATE: October 27, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Fremont <br />~~ ~ III IIIIIIIIIIIII111 <br />~!'~~ 5 3- o~~ <br />~~G~1J~O <br />S~? ~ J ~~~aG°~~o9r <br />O,M`~esa~. <br />0~°~5~~~ <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, [he <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn adequately labeled map that clearly delineates and includes the above elements mny <br />suffice far a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Angela Bellantoni <br />P.O. Box 1720 <br />Canon City, Colorado 81215 <br />Company: Fremont Paving & Redi-Mix, Inc. <br />Phone No.: ( 719 ~ 275-1280 <br />FAX NO.: ( 719 275-8897 <br />e-mail: an¢elab@ris.net <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~t 1 at Z68a <br />acute of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:WERMI"I V.IASTERD000M EKf5N7~AF-01 <br />