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o/<- <br />F 'r A i <br />PERMITTEE NAME: 77L <br />oveland Ready Mix Concrete, Inc. <br />PERMIT NO.: // <br />4/1VI-1974-069 <br />OPERATION NAME: Larimer Pit <br />ANNIVERSARY DATE: July 31, 2008 <br />ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />""` 302006 <br />®iftion oP r,,ecj_ on, <br />IV 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, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, resort, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the yrevious vear's man are necessarv, then no new man is required. srovided that the Oserator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice 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 Fancher <br />Permittee Name: Loveland Ready Mix Concrete, Inc. <br />Address: P.O. Box 299 <br />1811 W. 12th St. <br />Loveland, CO 80539 <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 i is / rm alon with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />_7-)C> ( UP <br />Date