2001-11-14_REPORT - M1986015 ‎(2)‎

• Permit No: M1986015
• IBM Index Class Name: Report
• Doc Date: 11/14/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
ANNUAL FEE and REPORT REQUEST
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Division of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Transit Mix of Pueblo, Inc.
M-1986-015
Pueblo East Pit
November 12, 2001
$688.00 (Due on or before your anniversary date)
Pueblo
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-I 16, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during [he 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 [he year, if any.
Please attach vour revised written annual report and annual report map to this form. Please note drat art
adequately labeled map that clearly delineates mrd includes the above elements pray since for n trritten report.
Division records indicate [he following permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: Mark Klune
Permittee Name: Transit Mix of Pueblo, Inc.
Address:
Phone Number:
Fax Number:
5475 Hwy. 96 W.
P.O. Box 857
Pueblo, CO 81002
[phone]
[phone]
If you have additional comments and/or information that should be provided [o the Division, please provide i[
below or attach it [o this form along with your written report and map. Annual Report instructions are enclosed.
Sig azure of Corporate Officer or Owner
Date
M V'ERMIMIASTERDOCUAIENTSU1 AF-01