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PERMITTEENAME: Castle Concrete Company RECEIVED <br />PERMIT NO.: M-2001-005 MAY 2 7 2003 <br />OPERATION NAME: Grisenti Farms Gravel Pit Division of Minerals and Geology <br />ANNIVERSARY DATE: May 23, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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 operator <br />-Shaft submit the annuaY-fee, a report a~Cn map s tf owing the extent of-cnt~rent disturbances to affected land- - <br />reclamation accomplished to date and during the preceding year, new disturbances that aze 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 ynnr revised written annual rennrf and anneal report m ~n to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: B. J. Fuller <br />Permittee Name: Castle Concrete Company <br />Address: 444 East Costilla Street <br />-_ _~honeNumber: <br />Fax Number: <br />Colorado Springs, CO 80903 <br />__.(719)475-0700 <br />(719)475-2607 <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 />~_~ <br />Signatu of Corporate Officer, Owner, or Designee <br />Date <br />M:IPERMI7IMASTERD000MENTSVN-AF-01 <br />