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r~ ~ • III IIIIIIIII IIII III <br />ANNUAL REPORT <br />• <br />._c~iv~~ <br />PERMITTEE NAME: Jerald SeiFert and Fred Lowry <br />PERMIT NO.: M-1999-003 <br />OPERATION NAME: Tallahassee Pit <br />ANNNERSARY DATE: April S, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Fremont <br />BoZ 07 2000 <br />.,~Inerala&~6r?hay <br />~~~Q' <br />- - --- -According ~e C-.R.S.-3?-32-!-L6(3)(z), each year-, on-the-anniversary date-of the permit,-an~perator-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 that are 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 that nn adequately labeled map that clearly delineates and includes dte above elements nary <br />suffice for n 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: Mary Seifert <br />P.O. Box 305 <br />Westcliffe, CO 81252 <br />Company: Seifert Trucking <br />Phone No.: (719 ) 783-2757 <br />FAX <br />same <br />[f there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it [o this report form along with your map and/or written <br />report. <br />~~~ 4-5-00 <br />Sig tare of Corporate Office , or Owner Date <br />/NSTRUCTIONS ON BACK <br />Af. W ERM I IV.1ASTERD000MENTSNI~AF-01 <br />