Laserfiche WebLink
999 <br /> II IIII III � � 3�a3 22 �4 �.� �. <br /> ANNUAL FEE and REPORT REQUEST <br /> PERMITTEE NAME: Transit Mix of Pueblo, Inc. <br /> PERMIT NO.: M-1986-015 NOV 13 2030 <br /> OPERATION NAME: Pueblo East Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: November 12, 2000 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Pueblo <br /> 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact Mark Mune <br /> Permittee Name: Transit Mix of Pueblo, Inc. <br /> Address: 5475 Hwy. 96 W. <br /> P.O. Box 857 <br /> Pueblo, CO 81002 <br /> Phone Number: (719) 561-8350 <br /> Fax Number: (719) 566-0231 <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 <br /> enclosed. <br /> n7 a K,e, � v, P. / a ►'�, <br /> Signature of Corporate Officer or Owner <br /> Date <br /> M:TERM HAMASTERDOCUM ENTS\M-AF-01 <br />