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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />JJr <br />ANN NEE and REPORT REQUEST <br />/ Ready Mixed Concrete Company <br />M-2001-046 <br />Nix Sand & Gravel Mine <br />May 30, 2007 <br /> <br />f~ .,~ ~~~ <br />` <br /> : ~ .,. <br /> <br /> !' ~~,~ <br /> <br />c~fvininV S..n;..iio <br />~, n <br />~ri <br />~;cfy <br />ANNUAL FEE DUE: $$688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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 submit-the-annual-feera.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 far 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. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Bill Timmons <br />Permittee Name: Ready Mixed Concrete Company <br />Address: 4395 Washington St. <br />Denver, CO 80216 <br />Phone Number: <br />Fax Number: <br />(303)659-0630 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />belo`w/or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signatu /s'rp/orate'~~aOwne~ esignee <br />Date <br />