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---..~' _ _... ~! iii i <br />ANNUAL REPORT <br />PERMITTEE NAME: S Rl W ~inpany ''~~~ <br />PERMIT NO.: M-84-108 +~-'" <br />.• J` <br />OPERATION NAME: Olathe Pit , , G~~ <br />ANNNERSARY DATE: December 14, 1999 ~~ C,15 <br />~~ <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />'` <br />COUNTY: Montrose <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the pe. <br />shall submit the annual fee, a report and map showing the extent of current disturba <br />land, reclamation accomplished to date and during the preceding year, new disturba <br />anticipated to occur during the upcoming year, reclamation that will be performed d <br />year, the dates for the beginning of active operations, and the date active operations <br />if any. <br />note that an adequately labeled map that clearly delineates and includes the above <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone <br />provided: <br />Contact Name: Josegh D V' n nt; c <br />Adddress: 3001 North Townsend Avenue Phone No.: A70) 249- <br />Montrose, CO 81401 Fax No.: 97 - <br />If there are additional comments and/or information that should be provided to the <br />provide it on a separate sheet and attach it to this report form along with your map <br />report. <br />!~-/3-~~ <br />tgna re of Corporate Officer, or Owner Date <br />iiiiiiiiiii <br />an operator <br />to affected <br />that are <br />the coming <br />ed for the year, <br />Please <br />may <br />in the space <br />~n, please <br />written <br />/~ <br />., <br />i <br />INSTRUCTIONS ON BACK <br />