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<br />?`s6-2?-2004 <br />PM*Wl7' EE NAME: <br />PERMIT NO.: <br />OPERKIION NAME: <br />AA'1tiWMSARY DATE <br />ANNUAL FEa DUE: <br />COUNTY: <br />Sd YNU VE fT REO T <br />Z N tchey's Rcd1-Mlz Concrete, iaa <br />Ifi12005-070 <br />Krchmayor Pit <br />January 26,8011 <br />55323.00 (Due on or- before your anniversary date) <br />Phillips <br />9 <br />RECEIVED I <br />APR 0 6 2011 <br />Division of Rs01am010n, <br />40 Miffing & Safety <br />Aecordina to C.R.S. 34-332.5-116 or C.R.S. 34-32-116, each yew. 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 affeued land, <br />_ reclamation accq;nplished 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 cowing year, the dates for the beginning <br />of sctivs operations, and the date active operations ceased farthe year. ifany. <br />Picase guacltyouur revised w annual report and annual, retort =p to this fortm The Manual Report <br />& Fee requirement is not met until we have received the following components: fee, report.-and nssodated <br />m$g. If no new disturbaaen or r erlatnotion have occurred durim the Previous year and no new chacnea to <br />art. Pkare note that mr <br />miry ."d"ca for a tivr?Ytan mpcr>. <br />map tlrar <br />incli dos the <br />Division records indicate the fbilouing Fermittee contact informvion. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Jerry Ritchey <br />.y •r std <br />Permirtee Name. Ritchey's Redi-Mix Concrete. inc. <br />Address: 509 S idlowild Sr Yuma, CO 80759 <br /> <br />Phone Number: (970) 848-5451 <br />Far. Number. (970) 949-5453 <br />L <br />,V <br />l <br />If you have additional comments and/or information that should be provided to the Divisions, please provide it <br />below or attach it to this form along with your %vrinen reporr and map. Annual [report instructions are enclosed. <br />Si hatwe of Corporate ricer. 0 11r, or Oesignec <br />.2 - 9- // <br />Date