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~ iii iiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />PERMPfTEE NAME: Ted R. Hubbs Family Estate <br />PERMI"f NO.: M-87-088 <br />OPERATION NAME: Hubbs Pit <br />ANNIVERSARY DATE: July 14, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: La Plata <br />~J <br />~~~ ~ 41999 <br />pnxtes~ aG¢nW9Y <br />,~aiD <br />According to C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the permit, an <br />operator shall subrrit the annual fee, a report and man 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 yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that nn adequately labeled map that clearly delineates cued <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: <br />Contact 1\ame: //4.t~.s-cti G~,J~~c~.4.G~~,, <br />Address:_~y9C~ ~ ~}~«l.E(X~4~- Oil <br />Company: <br />Phone No.: (,i a7 ) (o ~t 2--- /a J O ~ <br />Fax No.: (~~ 16Ra-°~i'7/5J <br />If there azc~ 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 />Signature of Corporate Officer, or Owner Dale <br />INSTRUCTIONS ON BACK <br />