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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Transit Mix of Pueblo, Inc. <br />M-1984-008 <br />Barnhart Pit <br />May 9, 2002 <br />RECEwVED <br />MAY 0 5 2001 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Pueblo <br />According to C.R.S. 34-32.5-1 ]6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />---- shall_submit-the-annual-fee,-a-report and-map sheaving 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 vour 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 report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Mazk Klune <br />Permiitee Name: Transit Mix of Pneblo, Inc. <br />Address: 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 enclosed. <br />/n a~K..et.~.~. i~.a.~-~%~d'P.~ <br />Sig cure of Corporate Officer or Owner V ~ ~~~~' ' <br />!a t ~ bGa <br />Date <br />M:NERM ITNIASTERDOCUMENTSN~-AF-01 <br />