2007-01-17_REPORT - M2001022

• Permit No: M2001022
• IBM Index Class Name: Report
• Doc Date: 1/17/2007
• Doc Name: Annual Fee/Report/Map
• From: Loveland Ready Mix Concrete, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
!/Loveland Ready Mix Concrete, Inc.
/1~'I-2001-022
RECEIVEn
'JAN 17 2001
lvis~on o'and Safety n
{~ Mining
Green/Croissant Property Sand and Gravel Mine
January 16, 2007
$$688.00 (Due on or before your anniversary date)
Weld
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, newslisturbances_that_are_ant;c~nated to_occur___
during the upcoming yeaz, reclamation that will be performed during the coming yeaz, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report maa 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 during the arevious vear and no new chanties to
the previous year's map are necessary, then no new man is required, arovided 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 for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Steve Fancher
Permittee Name: Loveland Ready Mix Concrete, Inc.
Address: P.O. Box 299
Loveland, CO 80539
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be
below or attach it to thi form along with your written report and map.
S~2 - %izmor,
Sign orporate Officer, Owner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
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