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~ III IIIIIIIIIIIIIIII ~ <br />ANNUAL REPORT A^~ n ,, „ <br />~4,~nn~ <br />PERMITTEE NAME: Four Corners Materials, Inc. dba Pagosa Materials tii J"N ~~~,d~.. ~ "~'i~'+l <br />PERMIT NO.: M-1980-228 <br />OPERATION NAME: Triangle One Pit <br />ANNIVERSARY DATE: Apri127, 2000 ,.~' ~~ <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Archuleta <br />According to C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the. permit, an operator shall <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 that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written resort to this annual report. Please <br />note That an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written report. <br />Please type or print the curtent contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Monte Potter <br />Company: Four Corners Materials, Inc. <br />Address: P.O. Box 2707 <br />Durango, CO 81302 <br />Phone No.: (970 )247-2172 <br />FAX No.: ( 970 ~ 259-3631 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Ut.c/~-k-~~~ April 21, 2000 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M iPERM n V.f ASTER DOCUM EMSNt-A F-OI <br />