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eS~ <br />ANNiTAi. FF.F, and REPORT RF,niTFST <br />PERMITTEE NAME: / /Loveland Ready Mix Concrete, Inc. ~ECEQ~E® <br />PERMIT NO.: 1/ M-1974-069 ~J~~ 3 ' ZQ6S <br />OPERATION NAME: Larimer Pit <br />vision rf Minerels and Geology <br />ANNIVERSARY DATE: July 31, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <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. submit the-annual.-fee, areport- 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 attachynnr revised written .anneal re~nrt and anneal re~nr m to this form. The Annual Report <br />& Fee requirement is not met until we have received the following 3 components: st:, erennrr, and associated <br />ipaR (A113 are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />sufface for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Steve Fancher <br />Permittee Name: Loveland Ready Mix Concrete, Inc. <br />Address: 18111 W. 12th St. <br />P.O. Box 299 <br />- Loveland, CO 80537 - -- <br />Phone Number: (970) 667-2680 <br />Fax Number: (970) b67-0036 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach ' o t 's-f along with your written report and map. Annual Report instructions are enclosed. <br />~~ ~ -~ ts~/S" <br />~~ <br />Si fat // rporate Of cer, Owner, or Designee <br />Date // // <br />