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<br />brut /~- <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Ji~ANNiiAi, FF.F, and RF,PnRT RF.niTF,ST <br />Tony J. Beltramo & Sons, Inc. <br />`/M-1998-101 <br />Cesar Pit <br />March 29, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Pueblo <br />IA~Ii~IbL~ <br />"MAR 0 S 2006 <br />m <br />~Uvnron of Minerals and Geology <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 />shall submit_the_annual~'ee,_a_report_and-map-showing-the-extent-of-current-disturbances to affected~lan8,'--" <br />reclamation accomplished to date and during 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 acfive operations ceased for the yeaz, if any. <br />Please attach Xpnr revised written anneal re~nnrf and anneal rennrt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may su~ee for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert D. Beltramo <br />Permittee Name: Tony J. Beltramo & Sons, Inc. <br />Address: 1541 Stockyard Rd. <br />Pueblo, CO 81001 <br />Phone Number: <br />Fax Number: <br />(719)544-4744 <br />(719)544-0247 <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 />~ ~. ~ ' 6' -- `-' <br />Signature of Co ~ rate Officer, Owner, or Designee <br />3~7 /~~ <br />Date <br />