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'. <br />. ;+ ~, <br />~.. <br />ANNUAL REPORT <br />PERMITTEE NAME: Lake County ~E~E~V~® <br />PERMIT NO.: M-1977-459 JUN U 9 2000 <br />"'~`~ _..;n of Minerals 8 Geolo <br />OPERATION NAME: Lake County Grav Pit gy <br />ANNNERSARY DATE: July S, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Lake <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 vour revised annual report map and written report to this annual report. <br />Please note that nn adequately labeled map drat clearly delineates and includes dte above <br />elements mny 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 Name: e N~e6Ui~e/ <br />Address: P~K q6~ <br />i <br />Company: L.cQ.~ (~oc«>.7y <br />Phone No.: (7/~f ) ~{Q>6 - OZ~~/ <br />FAX No.: (7/9 ) ~{~ - OZS9 <br />e-mail: ~r_//o ~CLrQ~-F~., rte <br />If there are additional comments and/or information [ha[ 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 />~ ~/iB~~. <br />S' at e of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M.~PER Al fllM ASTERDOCU M ENTSNI-A F-OI <br />