2007-03-02_REPORT - M1988093

• Permit No: M1988093
• IBM Index Class Name: Report
• Doc Date: 3/2/2007
• Doc Name: Annual Fee/Report/Map
• From: Fremont Paving & Redi-Mix, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
A,NNLIAL FE~a~d REPORT REQUEST
Fremont Paving &Redi-Mix, Inc.
M-1988-093
Fremont Paving &Redi-Mix Pit
March 3, 2007
~~
~~CEIVED
~141AR 2 2001,
~ ,
~eclama0on,
ra+ r~~,,: ~ .d Safety
$$688.00 (Due on or before your anniversary date)
Fremont
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 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 your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred durinc the previous veer and no new chances to
the previous year's man are necessary. then no new map is required. provided that the Operator shall state
this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the
above elements may since far a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact John P. Ary
Permittee Name: Fremont Paving &Redi-Mix, Inc.
Address: 839 Mackenzie Ave.
P.O. Box 841
Phone Number:
Fax Number:
Canon City, CO 81212
[phone]
[phone]
If you have additional comments and/or information that should be
below or attach it to this form along with your written report and map.
gnature of Corporate Officer, Owner, or Designee
~'~-O
provided to the Division, please provide it
Annual Report instructions are enclosed.
Date