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- � III IIIIIIIIIIIII Ill � <br /> 999 <br /> ANNUAL FEE and REPORT REOUEST <br /> RECEIVED <br /> PERMITTEE NAME: All Rite Paving & Redi-Mix, Inc. <br /> PERMIT NO.: M-1987-079 AUG 2 7 2001 <br /> OPERATION NAME: Lamar Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: September 2,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Prowers <br /> According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the pemtit, 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. Please rote that an <br /> adequately labeled snap that clearly delineates and includes the above elements may suffice for a written report. <br /> Division records indicate the following pemtittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Angela Bellantoni <br /> Permittee Name: All Rite Paving & Redi-Mix, Inc. <br /> Address: P.O. Box 1720 <br /> Canon City, CO 81215-0566 <br /> Phone Number: (719) 275-1280 <br /> Fax Number: (719) 275-8897 <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 /> A � <br /> Si nature of Corpora. Officer or Owner <br /> 22 , a00, <br /> Dat <br /> M APER M ITP1 ASTER DOC U M ENTS\M-AF-0I <br />