REP10048

• Permit No: M2000151
• IBM Index Class Name: Report
• Doc Date: 5/7/2002
• Doc Name: 2002 Annual Report
• From: Fremont Paving & Red-Mix Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECE9VED rte`"
MAY 0 7 2002
PERMIT'I'EE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Division of Minerals and Geology
Fremont Paving & Redi Mix, Inc.
M-2000-151
McCumber Hill Pit
April 18, 2002
$688.00 (Due on or before your anniversary date)
Fremont
According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he anniversary date of the pemtit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during th"e preceding year,-new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual resort and annual resort map to this form. Please note chat an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: -3ehtr;?`~hy
Permittee Name: Fremont Paving & Redi Mix, Inc.
Address: P.O. Box 841
Canon City, CO 81215-0841
Phone Number: [phone]
Fax Number: [phone]
`(emu= n ~ t~a,nkS~C~~~~cc)
L-v 3o~~a~y-4~"17
If you have additional comments and/or information [hat should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
~~~
gnature of Corporate Officer or Owner
S-3 -~~
Date
M:~PERMITN9ASTERD000M ENTSNI-AF-01