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• III III III III I II I III <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont Paving &Redi-Mix, Inc. <br />PERMIT NO.: M-1988-093 <br />OPERATION NAME: Fremont Paving &Redi-Mix Pit <br />ANNNERSARY DATE: March 3, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Fremont <br />• <br />RECEIVED <br />MAR u ~ 2000 <br />Division of Minetab & Geology <br />7°d196) <br />According to C.R.S..34-32-116(3)(a), each-year, on the anniversary date of the permit, att operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and daring the preceding year, new disturbances that are anticipated <br />to occur during [he upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual resort map and written resort to this annual report. Please <br />note that mr ndeyuntely labeled map that clearly delineates and includes the above elements may <br />suffice for cr written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />COntac[ Name: Angela Bellantoni COnlpany: Fremont Paving & Redi-Mix, Inc. <br />Address: P•0. Box 841 Phone No.: (719 ) 275-1280 <br />Canon City, Colorado 81215 FAX No.: (719 ) 2758897 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~2'? /.~'iT, February 29, 2000 <br />nature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: W ERMrIV.1ASTERD(KUMENTSRi-AF-01 <br />