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<br /> ANNiJAi, FF,F, and RF.P(7RT RF,niJF, ST <br />REC.Ef VED <br />PERMITTEE NAME: All Rite Paving &Redi-Mix, Inc. <br />PERMIT NO.: M-1987-079 AUG 2 9 2003 <br />OPERATION NAME: Lamar Pit Givision of Minerals and Geolo <br /> gy <br />ANNIVERSARY DATE: September 2, 2003 <br />ANNUAL FEE DUE: $688.00 {Due on or before your anniversary date) <br />COUNTY: Prowers <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 snbmtt-the annual -fee, a report and ma- p s >1 owing the extenf of current disturbances [o 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 written anneal rennrt and annual rennrt m ~n to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: John Paul Ary <br />Permittee Name: All Rite Paving &Redi-Mix, Inc. <br />Address: P.O. Box 1720 <br />Canon City, CO 81215-0566 <br />Phone Number: (719) 275-1280 <br />Fax Number: (719) 275-8897 <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 />Signature~~or fficer, Owner, or Designee <br />~;Z7- of <br />D <br />M:NERMITVv1ASTERD000MENTSU4-AF-01 <br />