2010-07-29_REPORT - M1974069

• Permit No: M1974069
• IBM Index Class Name: REPORT
• Doc Date: 7/29/2010
• Doc Name: Annual Fee/Report/Map
• From: Loveland Ready Mix Concrete, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: ECS
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANN FEE A
Ready Mix Concrete, Inc.
1974-069
Larimer Pit
July 31, 2010
$$791.00 (Due on or before your anniversary date)
Larimer
&_ C' S ole-
RECEIVXID
?/Jut 20,2010
t$iYli
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 upcoming year, reclamation-that will 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 your revised written annual report and annual report may 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 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 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: Steve Fancher
Permittee Name: Loveland Ready Mix Concrete, Inc.
Address: P.O. Box 299
Phone Number:
Fax Number:
If you h ve ad
4belowattac
of c
1811 W. 12th St.
Loveland, CO 80539
[phone]
[phone]
ial comments and/or information that should be provided to the Division, please provide it
this form ng ith your written report and map. Annual Report instructions are enclosed.
, Owner, or Designee
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Date