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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Transit Mix of Pueblo, Inc. ~ECE~ tl EAR <br />PERMIT NO.: M-1977-573 <br />OPERATION NAME: Pueblo West Pit MAR 2 0 2002 <br />ANNIVERSARY DATE: March 22, 2002 Oirisimn of Minermlm mn10m0100Y <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <br /> <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, each yeaz, 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 />reclamatiorraccumplished ~o-date and-during-thc preceding-year,-new disturbances that are-anticipated'to-oceur- <br />during the upcoming year, reclamation that will be performed during [he coming year, [he 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 annual report and annual report map 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 [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mark Klune <br />Permittee Name: Transit Mix of Pueblo, Inc. <br />Address: P.O. Box 857 <br />Phone Number: <br />Fax Number: <br />Pueblo, CO 81002 <br />(719) 561-8350 <br />(719)566-0231 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />l /Y10 P <br />/rl Q~t,e,I~.eu,-~~ V.I,ce,P.~ao~ot~ Q.di-~~+, <br />Sign ure of Corporate Officer or Owner <br />~ ~ a a6~- <br />Date <br />M:~PERMITU-IASTERDOCUMENTSUI-AE-O7 <br />