2001-05-13_REPORT - M1995008

• Permit No: M1995008
• IBM Index Class Name: Report
• Doc Date: 5/13/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
ANNUAL FEE and REPORT REQUEST
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Fremont Paving &Redi-Mix, Inc.
M-1995-008
Florence Pit
May 13, 2001
MAY 1 1 2001

Division of Minerals and Geology
$550.00 (Due on or before your anniversary date)
Fremont
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 16, 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, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual resort map to this form. Please note that an
ade9uate(y labeled atop that clearly delineates and includes [he above elemen[s may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: John P. Ary
Permittee Name: Fremont Paving &Redi-Mix, Inc.
Address: P.O. Box 841
Canon City, CO 81215-0841
Phone Number: (719) 275-32b4
Fax Number: (7]9)275-8897
!f 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.
Signat of Corporate Officer or Owner
~-u-2 ~, 200
Date
M.IPERMnVNASTERDOCUM1tENTSU1-AF-01