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X3038328106 <br />FES-24-2000 10:56AM FROM-DIV RECLAMATION MINING b SAFETY <br />- PORT RE [JEST <br />r?IpyUAI. IEEE and RAE <br />PERMITTEE NAME: Ritchey's Itcdi-Wx Concrete, inn <br />pL_RMIT NO.: YY W-2005-070 <br />OPERATION NAME: Krehmeyer Pit <br />T-137 P.002/002 F-OTT <br />ANNTVERSARY DA'L'E- January 26, 2009 <br />S$323.00 (Due on or before your anniversary date) <br />ANNUAL FEE DUE: <br />COUNTY: Phillips <br /> <br />According to C.R.S. 34-3-2.5-116 or C_R.S. 3432-116, each year, on the anniversary date of the permit, an operator <br />shalt submit the annual fee, a report and map showing the extent of current disturbances to affected land, - - <br />reclamation acxJomplished to-date-and-during .dte preccd_ina.y?-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 ur revised written Riga/ we rt and annual revert isms to this forth. The Annual Report <br />& Fee requirement is not rn unfit we have received the following components: fee- region. and associated <br />nag If no ne* disturbances or reclamation have mxd duri the revio s veer and no new chap es to <br />the reviogrs ear's ma re necegss then no new rna is mQuired <br />map ? cleearlthat the y delirre®es andinrudles phe <br />this in the Anno Re nom Please note char an a&Tz at Iy labeled <br />above elements may "fee for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jerry Ritchey <br />fl F? !' U?.i'/t <br />permittee Name: Ritchey's Redi-Mix Concrete- Inc. <br />Address: 509 S Idlewild Sr <br />Yuma, CO 80759 <br />Phone Number: (970) 1348-5451 <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 />r re of Corporate cer. Ow r, or Designee <br />Date <br />