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JUL-24-2002 WED 12:41 PM FRX N0, P, 02 <br />RECEIVED <br />AUG 1 2 2002 <br />Division of Minerals and Geology <br />PERMITTF.E NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY RATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAT, FEE and REPORT RF,QUEST <br />Ilard Rock Paving &Redi-Mix, Inc. <br />M-x984-101 <br />Chaparral Meadows Pit <br />August 13, 2002 <br /> <br /> <br />$688.00 (Due on or before your anniversary date) <br />Park <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 shoyving the extent of current disturbances to_affectui.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 vour revised written annual report and annual report map to this Porm. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Aivision records indicate the following permittee contact information. Please verify and [Hake any necessary <br />changes: <br />Permittee Contact: ~asgela-lit~teai <br />Permittee Name: Hard Rock Paving 8t Redi-Mix, Inc. <br />Address: P.O. Box 1720 <br />Canon City, CO 81215-1720 <br />Phone Number: (719) 275-1280 <br />Fax Number: (719) 275-8897 <br />~1~~~ 14v~ <br />If you have additional comments and/or information that should be provided [o [he 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 />store of Corporate Officer or Owner <br />~3o-D <br />Date <br />M aPCRM ITIM ASTGR OUCOM CN'1'SN7-AF-OI <br />