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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile, Inc. <br />PERMIT NO.: M-1979-002 <br />OPERATION NAME: North Delta Pit <br />ANNIVERSARY DATE: April 11, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Delta <br />~ III IIIIIIIIIIIII III <br />PA 111 <br />'_C~EII't=C <br /> <br /> <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances [hat ttre anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note t/tat un ndeguntely labeled Wrap thnt clearly delineates atd includes the above elements nary <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ERIC •Z~KENT~r1G Company: ~./I'fM tGtE EvY+-~- <br />Address: 159o v~• 12~ /rt6. PhoneNo.: (303 ) to5?-- 433u <br />D6N~, ~ BoZO~ FAX No.: ( 3og ) to5~- 43~_ <br />If there are additional comments and/or information that should be provided [o the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />y~,~io~ <br />Signature o orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />Ai. WERMITN7ASTERD000MENTSUI-AF-01 <br />