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' • • III IIIIIIIIIIIIIIII <br /> 999 <br /> ANNUAL REPORT <br /> PERMITTEE NAME: Nottingham Sand & Gravel Co. PAID <br /> PERMIT NO.: M-78-352 <br /> OPERATION NAME: Eagle Pit RECEIVED <br /> ANNIVERSARY DATE: August 14, 1999 JUL 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 Division of Minerals s Geology <br /> COUNTY: Eagle <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances <br /> to affected land, reclamation accomplished to date and during the preceding year, new <br /> disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br /> performed during the coming year, the dates for the beginning of active operations, and the date <br /> active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this <br /> annual report. Please note that an adequately labeled map that clearly delineates and <br /> includes the above elements may suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the <br /> space provided: v1 <br /> Contact Name: . )r, �n �, I / l h,n Company::�Qa r r nc g, k 9X50L r-tt <br /> Address: I`f ISlo l(r ..�o Phone No.: ( 970 ) 9�/S—/a<J0 3 <br /> O $/(o23 Fax No.: ( 9&) �& 3 — 1311 <br /> If there are additional comments and/or information that should be provided to the Division, <br /> please provide it on a separate sheet and attach it to this report form along with your map and/or <br /> written report. <br /> dy 0 / a 77L -����99 <br /> S g"tur, of Corporate Officer, or Owner Dale <br /> INSTRUCTIONS ON BACK <br />