2007-08-03_REPORT - M1996052

• Permit No: M1996052
• IBM Index Class Name: Report
• Doc Date: 8/3/2007
• Doc Name: Annual Fee/Report/Map
• From: Ready Mixed Concrete Company
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMTiTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
%~` ~/C'~
ANNUAL FEE and REPORT REQUEST
Ready Mixed Concrete Company
/lvI-1996-052
Del Camino Sand and Gravel Mine
August 4, 2007
~~~
~AUG 0 ~ 2001
~8lvision of Reclamation,
Mining and Safety
$791.00 (Due on or before your anniversary date)
Weld
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
__- _-reclamation accomplished to_date. and_during_the_preceding_yeaz,_new disturbances that.are_anticipated to_occur_ _ _
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new chances to
the previous year's map are necessary, then no new map is repaired, provided that the Operator shall state
this in the Annual Report, Please note that an adequately labeled map that clearly delineates and includes the
above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Nathan Merkison
Permittee Name: Ready Mixed Concrete Company
Address: 4395 Washington St.
Denver, CO 80216
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
L//~/19~ t~J~~
Signature of orporate Officer, Owner, or Designee
~~~~ ~ ~
Date