2006-02-06_REPORT - M1995007

• Permit No: M1995007
• IBM Index Class Name: Report
• Doc Date: 2/6/2006
• Doc Name: Annual Fee/Report/Map
• From: Bent County Ready Mix
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
1~ANNiIAi, FF.F, and RF,P(iRT RF, iTFST
Bent County Ready Mix
M-1995-007
Thomeczek Pit
February 6, 2006
elLS,aFF6 b ~®
`~ FEB 0 61006
vGivision of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Bent
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
-epe~t~-shat ~--5 ~~ ~ it Abe-erv3ee irk-z ~-.jai-rn`-~er~t-distttrban.,e~te-affeet.,d
land, reclamation accomplished to date and during the preceding year, 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 your revised written annual report and anmral report map to this form. 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: Joe H. Thomeczek
Permittee Name: Bent County Ready Mix
Address: P. O. Box 387
Phone Number:
Fax Number:
Las Animas, CO 81054
[phone]
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.
Si re~ Corp Off er, or Designee
a ,~ /o~
Date
M:IPERMI1Uf ASTERDOCUM ENTSN-I-AF-04