2003-09-29_REPORT - M1987049

• Permit No: M1987049
• IBM Index Class Name: Report
• Doc Date: 9/29/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Ready Mixed Concrete Company
M-1987-049
Bromley Lakes
September 29, 2003
SEP 2 92003
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Adams
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 disturbances to affected land,
` reclamation accomplished [o date and during the 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 ynnr revised written anmral re~nrt and annual report maTtn this fnrm_ 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: Bill Timmons
Permittee Name: Ready Mixed Concrete Company
Address: Ready Mixed Aggregates, Inc.
14585 Old Brighton Rd.
Brighton, CO 80641
Phone Number: [phone]
Fax Number:
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. Annual Report instructions are enclosed.
~~~ ~~
ignature of Corporate Officer, Owner, or Designee
Date
M:~PERMI7lMASTERD000MENTSVv1-AF-01