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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNPJERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY; <br />All Rite Paving &Redi-Mix, Inc. <br />M-1987-079 <br />Lamar Pit <br />September 2, 2002 <br />!~ <br />RECEIVED <br />SEP 0 9 2002 <br />Division of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Prowers <br />According [o 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 />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 moo 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 permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: -~Aa~gela-~eI}anrani <br />Permittee Name: All Rile Paving &Redi-Mix, Inc. <br />Address: P.O. Box 1720 <br />Canon City, CO 81215-0566 <br />Phone Number: (719) 275-1280 <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 instmctions are enclosed. <br />( ~~~~ <br />Sig ur et~t re of Corporate Officer, Owner, or Designee <br />~~ /r7~ <br />Date I <br /> <br />M:~PER M ITMASTERDOCUM EMSU~I-AF-0I <br />