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01(-- <br />J l? <br />f <br />A A FEE and 'PORT REQUEST <br />????aaaon. <br />PERMITTEE NAME: Riverside Aggregates, L.L.C. ow 409 an 1.12iew 10 PERMIT NO.: /M-1985-014 <br />OPERATION NAME: Bonnie Earl Pit <br />ANNIVERSARY DATE: April 12, 2011 <br />ANNUAL FEE DUE: $$323.00 (Due on or before your anniversary date) <br />COUNTY: Bent <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 <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning 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 <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the 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: Rudy Torres <br />Permittee Name: Riverside Aggregates, L.L.C. <br />Address: 1750 CR HH <br />Phone Number: <br />Lamar, CO 81052 <br />(719) 336-7361 <br />Fax Number: <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 <br />enclosed. <br />i re of Corporate Officer, Owner, or Designee <br />a a <br />Date <br />M:IPERMITIMASTERDOCUMENTSW-AF-04