2006-02-16_REPORT - M1977522

• Permit No: M1977522
• IBM Index Class Name: Report
• Doc Date: 2/16/2006
• Doc Name: Annual Fee/Report/Map
• From: Star Ready Mix
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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FE9 ~6 2006
Div~mon of Minerals and Geology
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Star Ready Mix
M-1977-522
Herman Feit Pit
March 23, 2006
$688.00 (Due on or before your anniversary date)
Weld
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 showing the extent of current disturbances to affected land,
reclamationaccnmplichcri to rlatc and rlnrin~thP_plecedlRg )reaL;_IIeW_[I~ctnrhanreS that are aRt]ClpatP~l to _nrri~~
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 annnal rennrt and annual re nrt man 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: Al Lunbery
Permittee Name: Star Ready Mix
Address: 3800 O St.
Greeley, CO 80631
Phone Number:
Fax Number:
[phone]
F~i~'~ 970 - 39a - ~ 9 9 9
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Offic ,Owner, or Designee
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Date