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• 23-AUG-2005 09:27 FROM-Colorado Division at Minerals 6 Geology +13036328106 <br />~I-~~2P1 <br />PERM1TTEfi NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANN1vERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />All Rite Paving and Redi-1Vlix, lne.~ <br />/•M-1999-0OS <br />North River Pit <br />Juiy 14,2005 <br />T-395 P.002/002 F-836 <br />brn ~< <br />RECEIVED <br />..~ ~UG 3 0 2005 <br />/ Division ~f Minerals and Geology <br />$688.00 (Due on or before yoar anniversary date) <br />Otero <br />According to C.R.S. 34-32.5-116 or C,R_S. 3432-116, each year, on the anniversary date of the pertnit, en operator <br />shall submit the annual fee, a report and trap showing the extent of current disturbances to affected land, <br />reelarnation accomplished to date and doting the preceding year, new disturbances that are anticipated to 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 />Please attach vnnr revised wrltt a ~poal reQnR and annnal reFnrt mum M this fnrro_ Please note that art <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following perrnittee contact infatmarion. Pkase vezify end make any necessary <br />changes: <br />Permittee Contact: Denise Gonzales <br />Prnnittee Name: All Rite Paving and Redi-Mix, Inc. <br />Address: P. O. Box 1128 <br />La Junta, CO 81050 <br />Phone Number: (719) 383-2600 <br />Fax Number: (719) 383-2211 <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 enclosed. <br />~=.Si~~~ <br />tore of Corporate Officer, Owner, or Designee <br />Date <br /> <br />