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13-JUL-2005 09:60 FROirFColorado Division of i4inarals i Gaoloay +13039329106 T-04B P.003/003 F-120 ' 7 <br /> cb/~ N <br /> ® <br />E <br />fRE~ f~;~~~ <br /> A~TJ~1iJ4I, FF.F, and RF. P/]R <br />T <br />RR~iTF.ST tt <br />t~ <br />G/~UL 2 ~ 2005 <br /> ~ <br />~ <br />c OiVision of M~,,.~ ass and Geology <br />PERMITfEE NAME: Loveland Ready Mix Con <br />rete, Inc. ~ <br />PERMIT NO.: /M-1974-069 <br />OPERATION NAME: Larimer Pit <br />ANNIVERSARXDATE: Jnly31,2005 <br />ANNUAL FEE DUE: $688.00 (ITac on or before your anniversary date) <br />COUNTY: Larimer <br />According to C.R.S. 34-32.5-116 or C.RS. 34-32-1 l6, each ye:az, 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 ro date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation tltat will be performed doting the coming yeaz, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please aMarh xnLr reviSPd wriften annnal re~nnrt and annnat report maw to this forny please note that Qa <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permiuce contact information, Please verify and make any necessary <br />changes <br />Permittee Contact: George S. Panchen <br />Permittee Name: Loveland Ready Mix Concrete, lnc_ <br />Address: P.O. Box 299 <br />Loveland, CO 80539 <br />Phone Number: (970) 667-2680 <br />Fax Number. (970) 667-003G <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below ar attach it [o this form alortg with your written report and map. Annual Report instructions are enclosed- <br />Owner, or <br />Date ~ ~, <br />