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FEB-24-2009 10:56AM FROWDIV RECLAMATION MINING A SAFETY +3038328106 T-137 P.002/002 F-077 <br />/L <br />ell r- P <br />ANN19L FEE and P6RT REQUEST <br />PERMITTEE NAME: °i ''tchey's Redi-Mix Concrete, Inc. CEffiED <br />PERMIT NO.: Y M-2005-070 ,MAR 0 6 COOS <br />OPERATION NAME: Krehmeyer Pit Division o1 Reclamation, <br />ANNIVERSARY DATE: Jaauary26, 2009 Mining and Safety <br />ANNUAL FEE DUE: $5323.00 (Due on or before your anniversary date) <br />COUNTY: Phillips <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.operati9t)s ceased for,thc year, if any. Y <br />Please attach your revised written annual report and annual report map to this fornL The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />ma . If no new disturbances or reclamation have occurred during the previous vear and no new changes to <br />the previous year's trap are necessary, then no new may is reouired, provided that the Operator shall state <br />this in the Annual Report. Please note rhat an adequately labeled map that clearly delineates and includes the <br />above elemenrs may cuff ice for a written relwri. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes. <br />Permtttee Contact: Jerry Ritchey y <br />!f r? /??Z?,G?if <br />Permittee Name: Ritchey's Redi-Mix Concrete, Inc. <br />Address: 509 S Idlewild St <br />Yuma, CO 80759 <br />Phone Number: (970) 848-5451 <br />Fax Number: (970) 848-5453 <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 enclosed. <br />t re of Corporate leer, 4w?®r, or Designee <br />6? -0? <br />ool <br />Date ,t?2F? G'? ???%?„r" l?° • '' ? <br />,V Z-