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<br />%~ <br />RECEIVE® <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Riverside Aggregates, L.L.C. <br />M-1985-014 <br />Bonnie Earl Pit <br />April 12, 2004 <br />APR 1 2 2004 <br />Division of hginerals & Geolapy <br />$281.00 (Due on or before your anniversary date) <br />Bent <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 <br />operator shall submit the annual fce, a-report-and map showing the-extent ofcurrcnYdisturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anmral re~nrt and anneal rennrt map to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rudy Torres <br />Permittee Name: Riverside Aggregates, L.L.C. <br />Address: 1750 Rd. HH <br />Phone Number: <br />Fax Number: <br />Lamar, CO 81052 <br />(719) 336-7361 <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 aze <br />enclosed. <br />~lgna~6re of Corporate Officer, Owner, or Designee <br />Date <br />M: W ERMI7VMASTERDOCUMEMS~M-AF-04 <br />