2006-08-04_REPORT - M1996052 - Laserfiche WebLink

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_i iC rr~~ ANNUAL FEE and REPORT REQUEST DECEIVED PERMITTEE NAME: //Ready Mixed Concrete Company PERMIT NO.: +/ M-1996-052 t/AUG ~ 4 OPERATION NAME: Del Camino Sand and Gravel Mine i/~Ittitiauf Nitueis aal YedrlY ANNIVERSARY DATE: August 4, 2006 ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) COUNTY: Weld 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, rec]amation that will be performed during the coming year, the dates for the beginning of active operafions, and the date active operations ceased for the year, if any. Please attach upon revised written annual report and annual report map to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). 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: ~l "f{A9~rbtpz, ~(/~`4 Permittee Name: Ready Mixed Concrete Company /y~¢n ~Tf,~l t~N /ILG~ Address: 4395 Washington St. Denver, CO 80216 Phone Number: (303) 659-0630 Fax Number: If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. ~4Y-t~ah I~P~~-'~5On ~~'~~0~~~ ~ignature of Corporate Officer, Owner, or Designee /3-0~ Date `°°