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FEE- 24 -20CS <br />Pennittee Contact: Jerry Ri ehey <br />Pa;r iitee Name. Ritchey's Redi -Mix Concrete. inc <br />Address: 509 S idlewiid St <br />Phone Number: <br />Fax Number: <br />Yuma, CO 80759 <br />(970) 848 -5451 <br />(970) 848-5453 <br />y K� <br />Signature of Corttorate Ow' -r, or Designee <br />Date <br />LI /j r Rfi" <br />20I 2, <br />RECEIVED <br />ANNUAL FEE and REPORT REQUEST <br />PERIVII; TEE NAME: Ritchey's Redi -Mix Concrete, inc. FIR 1 3 2013 <br />PERMIT NO,: M- 205-070 DIVISION OF RECLAMATION <br />OPERATION NAME: Krehmeyer Pit MINING AND wry <br />ANNIVERSARY DATE_ January 26, 20,1 Jr. <br />ANNUAL FEE DUE: $5323.00 (Due on or before your anniversary date) <br />COUNTY: Phiifipa <br />According to C.R.S. 34- 32.5 -116 or CAS. 34-32-116, each year, 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 affected land, <br />reclamatton accomplished to date and during the preceding year, new disturbances that are anticipated Io 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 />Plcasc attacLLyour 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 chanties to <br />the previous year's snap are necessary, then no new reap is required, provided that the Operator shall state <br />this in the Annual Report. ?lease r=ote Char an adequately labeled map that clearly delineates and includes the <br />above elements rna;; ..p..6 for a ,frittat: recer:. <br />Division records indicate the following. per :nee contact information. Please verify and make any necessary <br />changes: <br />J <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 Aritten report and map. Annual Report instructions are enclosed. <br />