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• iiii iiiiiii ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont County <br />PERMIT NO.: M-1979-216 <br />OPERATION NAME: Dist No 2 Gravel Pit <br />ANNNERSARY DATE: January 20, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />O <br />ti <br />Q` `~~ v <br />~~ <br />v~' <br />According to C.R:S. 34-32-1 16(3)(a), each year; on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />please note that nn arlequate(y labeled mnp that clenrly de[inentes and includes the above <br />elements rnny suffice far a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~N ~l-t-o Company: 't'~`P~1L+ L~ <br />Address: ~06uc ~i3$ Phone No.: (~'t°~) 9~1''z'~H4~-, <br />C_-ro~pnu ~ CU ~~L2.''~ FAX No.: (~~ ) °x°12-- M'~8 <br />IF there are additional comments and/or information that should be provided to the Division, <br />please provide i[ on a separate sheet and attach it to [his report form along with your map and/or <br />written report. <br />.S 1 ~~, ~e.t, ~a,,,,..~t ~g• ~c;~.1 ~ , zooo <br />Signature of Corporate Officer, or caner Date <br />INSTRUCTIONS ON BACX <br />M: W ERMI IV.IASTERD000MEMI'SV.1-AF-0.l <br />