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. r ~ III IIIIII IIIIIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Neil Sprague <br />PERMIT NO.: M-1985-211 <br />OPERATION NAME: Berthoud Pink Quarry <br />ANNNERSARY DATE: Apri129, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Larimer <br />~E EIVEG <br />APR ~ 2000 <br />tut ~.. ! ,-, 8 ~c~IUg) <br />1'I~lel <br />-- - According to C.it.S. 34-.~2-1-f6(3)(a), each-year, on the anniversary date of the permi , an operator shat! <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances th tare anticipated <br />to occur during the upcoming year, reclamation that will be performed during the co ing year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach our revised annual re ort ma and written re ort to this annual a ort. Please <br />note that nn adequately Inbeled map that clearly delineates and includes the above el ments may <br />since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Ill~l a Geiser <br />Address: 5975 NO(' Coun~tu Road 27 <br />~A~C I0. n ~ CD Sd5 8 <br />Company: <br />Phone <br />FAX No.: <br />If there are additional comments and/or information that should be provided to the Di~ision, please <br />provide it on a separate sheet and attach it to this report form along with your map an or written <br />report. <br />7'x'1. s~7 Y~^~~- ~ t c <br />Signature of Corporate Of tcer, o Owner Date <br />INSTRUCTIONS ON BACK <br />M PER MnV.1A5TERDOCIJM ENTSN7-AF~01 <br />