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>~n~y~-- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATIr,: <br />ANNUAL FEE DUE: <br />COUNTY: <br />bn1,1= <br />v ANNiTAI. FF,F, and RF.PnRT RF.Oi1F.ST <br />"Riverside Aggregates, L.L.C. <br />1/M-1985-014 <br />Bonnie Earl Pit <br />April 12, 2006 <br />RECEIVED <br />'APR "0 42006 <br />~i OlYkiao of Minnrah end 8notapy <br />$281.00 (Due on or before your anniversary date) <br />Bent <br />According to C.R.S. 3'{-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit t}te annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclam~a ton acconnp ~s a to ate an unng~--tlSe preceding year, new disturbances that are anYtcipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />pJpase attach y nor revised wriftan annnal repprt and annual rennrt martn this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rudy Torres <br />Permittee Name: Riverside Aggregates, L.L.C. <br />Address: 17'50 Rd. HH <br />Phone Number: <br />Fax Number: <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 instructions are <br />enclosed. <br />Signature of C rporate Officer, Owner~iir Designee <br />oaf 1©3 ~ ~ <br />Date <br />M:IPERMITNIASIERDOCUMENISIM-AF-04 <br />Lamar, CO 81052 <br />(719)336-7361 <br />