Laserfiche WebLink
ANNUA?FEE hand &RT RE VEST <br />Q <br />PERMITTEE NAME: Fremont Paving & Redi-Mix Inc <br />PERMIT NO.: 1FM-2000-041 <br />OPERATION NAME: Evans #2 Pit <br />ANNIVERSARY DATE: June 21, 2011 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Pueblo <br /> <br />RECEIVW <br />/UN 17 2011 <br />Division of Reclamation, <br />Uning and Safety <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 fee, a report and map showing the extent of current disturbances to affected land, <br />-and during the preceding year, new disturbances that are anticipated to occur <br />reclamation accomplished to date <br />during the upcoming year, reclamation that will be performed during the coming year, tfie--dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new changes to <br />the previous vear's map. are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: John P. Ary <br />Permittee Name: Fremont Paving & Redi-Mix Inc <br />Address: 839 Mackenzie Ave <br />Canon City, CO 81212 <br />Phone Number: (719) 275-3264 <br />Fax Number: <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 alon with your written report and map. Annual Report instructions are enclosed. <br />Signatur f Corporate Officer, Owner, or Designee <br />Date <br />>r