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5 <br />L <br />ANN?EE an PORT REOUEST <br /> RECF F <br />PERMITTEE NAME: 11 Rite Paving & Redi Mix, Inc. 1 <br />/JU <br />PERMIT NO.: VM-1999-005 L <br />4 2009 <br />OPERATION NAME: North River Pit D ivision uo a ,Lc+ ir?arior?, <br /> Mining and Safety <br />ANNIVERSARY DATE: July 14, 2009 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Otero <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 />shalT submit the annual fee, -a report -a-n- map showing the extent of'cur`rent-di'turba`rices t65- hifid; - <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 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 required, provided that the Operator 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: Denise Gonzales <br />Permittee Name: All Rite Paving & Redi Mix, Inc. <br />Address: P.O. Box 1128 <br />La Junta, CO 81050 <br />Phone Number: (719) 383-2600 <br />Fax Number: (719) 383-2211 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />Signat f orporate Officer, Owrier, or Designee <br />7-(3--o9 <br />Date <br />provided to the Division, please provide it <br />Annual Report instructions are enclosed.