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C~/V~ <br />~- <br />1. <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />t/ ANNi1Ai, FF.F. and REPORT RF,niiF.ST <br />'~ Ready Mixed Concrete Company <br />M-2001-046 <br />Nix Sand & Gravel Mine <br />May 30, 2006 <br />RECEIVE <br />~ MAY 0 8 20~ <br />t~vivioo of Mtnereh end Oe®IoAY <br />$688.00 (Due on or before your anniversary date) <br />Weld <br />rn~i2 _~ <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, 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 to date`and during the preceding yeai, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual rennrt and annnal report mAn to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Bill Timmons <br />Permittee Name: Ready Mixed Concrete Company <br />Address: 4395 Washington St. <br />e~ r R P e ~ ~ T <br />1[E L-Y dL <br />Denver, CO 80216 <br />Phone Number: _ (303) 659-0630 .. _ _. _. _ _ _ . _ <br />Fax Number: Y <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />,~~~ ~ <br />Signature of Corporate Officer, Owner, or Designee <br />~oo~ <br />Dale <br />