REP22233

• Permit No: M1984008
• IBM Index Class Name: Report
• Doc Date: 5/9/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Transit Mix of Pueblo, Inc.
M-1984-008
Barnhart Pit
May 9, 2003
~ivisio~af Minerals and Geology
$688.00 (Due on or before your annive ary ate)
Pueblo
RECEIVED
MAY 0 92003
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 s tl~owing tthe extent of wrredt disturliances'to affected-land;
reclamation accomplished to 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 anneal re~nrt and annual rennrt maT 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: B. J. Fuller
Permittee Name: Transit Mix of Pueblo, Inc.
Address: 444 East Costilla Street
Colorado Springs, CO 80903
Phone Number: [phone] -
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide i[
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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C._J
Sign e'Co~f Corporate Officer, Owner, or Designee
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Date
M:~PERM ITN1ASTERD000MENTS~M-AF-01