REP16100

• Permit No: M2001022
• IBM Index Class Name: Report
• Doc Date: 1/12/2004
• Doc Name: Annual Fee/Report Notice
• From: Loveland Ready Mix Concrete Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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JAN 1 2 2004
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Loveland Ready Mix Concrete, Inc.
M-2001-022
~ni~tision of AAirerals and Geolom~
Green/Croissant Property Sand and Gravel Mine
January 16, 2004
$688.00 (Due on or before your anniversary date)
Weld .1~
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
shall submit the annual fee, a report and map showing the extent of current disrurbances to affected land,
reclamation accomplished to date and during the precedine 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 ymrr revised written anneal rennrt and annual re ern t man to this form. Please note that 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: Steve Fancher
Permittee Name: Loveland Ready Mix Concrete, Inc.
Address: P. O. Box 299
Loveland, CO 80539
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annua] Report instructions are enclosed.
Signatu o 0 orate Of tcer, Owner, or Designee
/oZ~o?¢~ u3
Date
M'`PERMIPMASTERDOCUM ENTS~M-A F-01