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08/02/2005 _1L 02 3036597353 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ar si2PT <br />Resdy Mixed Concrete Company <br />-1987-049 <br />Bromley Lakes <br />September Z9, 2005 <br />b~,k <br />$688.00 (Due on or before yoar anniversary date) <br />Adams <br />PAGE 03 ~/ <br />•~ 5~z5- o s'- <br />~; o~~. <br />Accozding to C.R.S. 34-32.5-1 ]6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised wrltt~ annual report and anneal rennrt man to thin form. Please nOle that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bill Timmons <br />Permittee Name: Ready Mixed Concrete Company <br />Address: Ready Mixed Aggregates, Inc. <br />14585 Old Brighton Rd. <br />Brighton, CO 8064] <br />Phone Number: (303) 659-0630 <br />Fax Number: ~'dlp$,~ L~~73s3 <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 />~"`~'~~ _ <br />Signature of Corporate Officer, Owner, or Designee <br />-28- Ze»rr <br />Qate <br />