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<br />(~f~~:fie~~~® <br />PERMITTEE NAME: Akron Ready Mix DEC 9 52003 <br />PERMIT NO.: M-1997-015 <br />pivision of Minerals and Gealogp <br />OPERATION NAME: Elrick Pit <br />ANNIVERSARY DATE: December 19, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Washington <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 operator <br />shall sutimit'the annual-fee; a report'acrd-tisapssnawing'tltz~tent-~arrem-dismrbances-ta-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 ynnr revised written anneal rennrt and anneal rennrt ma..,n to this form. please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jill Darrell <br />Permittee Name: Akron Ready Mix <br />Address: 100 S. Cedar <br />P.O. Box J <br />Akron, CO 80720 <br />Fax Number: (970) 345-2003 <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Sig ature of Corporate Officer, Owner, or Designee <br />l~~2~D'3 <br />Date <br />14 ~II~o-hS ~e c~ ~~ ~a . <br />i~-~~e4.se VAS ~ re~,U e5'~ecQ . <br />M:\PERM ITMASTERDOCUM ENTSVN-AF-OI <br />