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III IIIIIIIIIIIII III ~.~- ~~ ~ g <br />ANNUAL REPORT RE~EIV~r, <br />~fAR p g 1899 <br />PERMITTEE NAME: Fremont Paving &Redi-Mix Inc Division o~Minerats s ~eoiu9y <br />PERMIT NO.: M-88-093 <br />OPERATION NAME: Fremont Paving &Redi-Mix Pit <br />ANNNERSARY DATE: March 03, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />In order to ensure that our records are ttp to date, please attach your revised annual report map and written <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concernine mining disturbance and reclamation update. <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Mr. John P. Ary Company: Fremont Paving &Redi-Mix, Inc. <br />Box 841 Phone No.:( 719 ) 275-4555 <br />Canon City, CC 81215-C841 Fax No.: ( 719 _~_ 275-8897 <br />Comments:: <br />Signature of Corporate Officer, or Owner <br />-~- ~~ <br />Date <br />M:~DNRh1 LV.IASTERDU1-AF-01. <br />