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~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />~/ All Rite Paving &Redi-Mix, Inc. <br />M-1987-079 <br />Lamar Pit <br />September 2, 2006 <br />ql <br />RECEIVED <br />~~ SEP 0 51006 <br />t/ Division of Reclamation, <br />Mining and Safety <br />$688.00 (Due on or before your anniversary date) <br />Prowers <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 acoompiishe~-to date and during tKe preoeding year`, new tlistuibahces that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of <br />active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report & <br />Fee requirement is not met until we have received the following components: fee, report, and associated map <br />(All are required regardless of the level of disturbance or absence of disturbance during the previous year). <br />Please note that an adequately labeled map that clearly delineates and includes the above elements may since for <br />a written report. <br />Division records indicate the fallowing permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: John Paul Ary <br />Permittee Name: All Rite Paving &Redi-Mix, Inc. <br />Address: P.O. Box 1720 <br />Canon City, CO 81215-0566 <br />Phone Number: (719) 275-1280 <br />Fax Number: (719) 275-8897 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Repo[ instructions are enclosed. <br />Si ure of Corporate OfScer, Owner, or Designee <br />9-i-~~ <br />Date <br />