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~`~\~ <br /> A'VNI:.AI" F'F'.li nntl RF:POR'1' NF'OI ~F:RT <br />RECEIVED <br /> <br />PSI(Mll-I F.E N:\lvlli: Fremont Paviug K Rcdi-\lix, Inc. MAR O 3 ~ <br /> <br />PL•RMff NQ: M-1988-093 MWelonelM' <br />tner <br /> <br />0PIiKAT10N NA's11:: <br />Frcnuutl Paying S Rcdi-~tix Pit ela end <br />DIY <br />:\NNIVI'.RS.4KY DATE: 31arc113.2006 <br /> <br />ANV(':\I" hlih. DUI-.: <br />~688A0 (Doc on or before your anniversar ~~ <br />y dote) <br />('[)l+Nl1': Fremont <br />According to C.R.S. 34-32.5• I I6 ur <'.R.S. 24-32.1 16, each year. on the anniversary date of the permit, an operator <br />shall submrt Ox mmuul fee, u rclwn and nwp showing the estem of current chsturbanecs to affected land, <br />reclamation accumplisheJ to date and during the preceding year, new disturbances that arc anticipated to occur <br />during the ulxummg year, reclanutt+on that tv+ll he performeJ during the coming year, the dates for the Ixgtnnmg <br />of active operations, and the dale active operuhons ceased for the year, if any. <br />Plessc attnrh ~nur rnvhed r~rltten anm+al report amt nnnnul w,nn maj, to this fnrm_ Plra,cr tour tha! an <br />adryaanfi' labeled nuq, that c lrarl+ delineates and inrha/r.c the ;rho, , rlernrrus nnn url/ire Inr a wrrRen retort. <br />Ihv+smn recorJs utd+catc the lulluwmg pcmuttec contact mthnnatiuu. I'Iruse verilj and make any tteeessary <br />changes: <br />I'crntittee ('ontucl: Jahn P. Ary <br />Pctntittec Numc: Fremont Paving SRcdi-!vtis, Inc. <br />Address: 839 \lackenric Ave. <br />P.(). Bus 841 <br />('anon City. CO 31212 <br />Phone Numlxr. (719) 275-32(i4 <br />Fos Numhct^ (719) 2?5-8R9? <br />It you huce additional comments und.or inti)rnmtion that should be provided d, the Division, please provide it <br />below ur attach n to this fi,mt along wrth your written rcpon and map. Annual Report instruction, arc enclosed. <br />G~ <br />Sign err of ('Depurate OBicw, Owner, or Designee <br />_ 3-/ -o~ <br />Date <br />