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<br /> <br />FiECE~VEC <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Tony J. Beltramo & Sons, Inc. <br />M-1998-101 <br />Cesar Pit <br />March 29, 2003 <br />FEB 1 3 2~a3 <br />Division of Minerals and Geology <br />$688.00 {Due on or before your anniversary date) <br />Pueblo <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, a report 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 attach,ynnr revised written anneal re~nrt and anneal rennrt ma, to this form- Please note that an <br />adequately labeled map that clearly delineates and Includes the above elements may suffzce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert D. Beltramo <br />Permittee Name: Tony J. Beltramo & Sons, Inc. <br />Address: 1541 Stockyard Rd. <br />Pueblo, CO 81001 <br />Phone Number: <br />Fax Number: <br />(719)544-4744 <br />(719)544-0247 <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 are enclosed. <br />/~r~ ?I. i~-~ <br />Signature of Corporate Officer, Owner, or Designee <br />Gem,. 7 . ~.r~y -t <br />Date ~ <br />M:U'ERM7TVv1ASTERD000MENTSVv1-AF-01 <br />