2008-09-29_REPORT - M1987049

• Permit No: M1987049
• IBM Index Class Name: REPORT
• Doc Date: 9/29/2008
• Doc Name: Annual Fee/Report/Map
• From: Ready Mixed Concrete Company
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: AJW
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
AN?dfFfEd REPORT REQUEST
ady Mixed Concrete Company
f/-k
Bromley Lakes
September 29, 2008
',/SEP 9 2008
Divijbc.at
Mining and Safety
$$791.00 (Due on or before your anniversary date)
Adams
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
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 year, new disturbances that are anticipated to occur
during the upc6rning year,-reclamation that-W-1111-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 no new disturbances or reclamation have occurred the previous year and no new changes to
the previous year's map are necessary, then no new map is required. provided that the Operator shall state
this in the Annual 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: Bill Timmons
Permittee Name: Ready Mixed Concrete Company
Address: 14585 Old Brighton Rd
Brighton, CO 80641
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.
rgnature of Corporate Officer, Owner, or Designee
?-/
Date