2003-01-07_REPORT - M1973007SG

• Permit No: M1973007SG
• IBM Index Class Name: Report
• Doc Date: 1/7/2003
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Transit Mix Concrete
M-1973-007-SG
Daniels Sand Pit 2
RECEIVED
JAN O 1 2003
January 7, 2003 Givision of Minerals and Geology
$685.00 (Due on or before your anniversary date)
EI Paso
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,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming yeaz, reclamation that will be performed during the coming year, the dates for [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ym~r revised written annnal report and annnal rennrf maP to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: B.J. Fuller
Permittee Name: Transit Mix Concrete
Address: 444 E. Costilla
Colorado Springs, CO 80903-1030
Phone Number: [phone]
Fax Number: - [phone]
If you have additional comments and/or information that should be provided [o the Division, please provide it
below or attach i[ [o this form along with your written report and map. Annual Report instructions are enclosed.
Signa rr re of Corporate Officer, Owner, or Designee
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Date
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M:IPERMIT\MASTERDOCUMENTSUI-AF-01