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RECEIVED <br /> ANNUAL FEE and REPORT REQUEST SEP 2 7 1001 <br /> PERMITTEE NAME: Ready Mixed Concrete Company livision of Minerals and Geology <br /> PERMIT NO.: M-1987-049 <br /> OPERATION NAME: Bromley Lakes <br /> ANNIVERSARY DATE: September 29,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Adams <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, each year, 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 year, 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 your revised written annual report and annual report map to this form. Please mote 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: Ready Mixed Aggregates, Inc. <br /> 14585 Old Brighton Rd. <br /> Brighton, CO 80641 <br /> Phone Number: (303) 659-0630 <br /> Fax Number: (3o3) 661 - 7353 <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 /> Signature. Corporate Officer or Owner <br /> Date <br /> M 9PE R M❑1M A STE R DOC U M E NTSW-A F-01 <br />