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~~ x R~a- <br />ANNUAL FEE and REPORT REQUEST / <br />PERMITTEE NAME: Loveland Ready Mix Concrete, Inc. v <br />PERMIT NO.: M-2006-080 <br />OPERATION NAME: Bokelman-Walters <br />ANNIVERSARY DATE: March 30, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />R~CE~VE® <br />APR 0 2 2008 ~/ <br />Di~rision or r~eciamation, j <br />Mining and Safety / <br />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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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, anal the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous year's map are necessary. then no new map is reauired, provided that the Operator shall state <br />this in the Annual Reiport• Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may sub f ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Steve Faucher <br />Permittee Name: Loveland Ready Mix Concrete, Inc. <br />Address: P.O. Box 299 <br />Loveland, CO 80439-0229 <br />Phone Number: (970) 667-2680 <br />Fax Number: (970) 667-0036 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attac it to thi~ rm along with your written report and map. Annual Report instructions are enclosed. <br />Si afar f Co orate Officer, Owner, or Designee <br />3 ~~ D ~ RECEIVED <br />Date APR 01 2008 <br />Division or Keciamation, <br />Mining and Safety <br />