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<br />~.~ 7~ off. ` ~ (OS~ ~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Grant Bros Const Ltd <br />PERMIT NO.: M-1981-068 ~~T ~ ~ 240 <br />OPERATION NAME: Loesch Pit Oivisian of ppinerals and Geology <br />ANNIVERSARY DATE: October 27, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Garfield <br />According to C.R.S. 34-32-116(3)(a), each year,-en-the anniversary-dote of the-permit; an-operator shall - <br />submit the annual fee, a report and map showing the extent of current disturbances to affected ]and, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that aze 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 reuort to this annual report. Please <br />note that an adequately labeled map t{tat clearly delineates and includes the above elements may <br />since 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: ~ n i~a IAC ~ ~v'a t~~ Company: l9-naw~ ~ve5. IaNS~ GLe. <br />Address: QU~/D ~-7 Phone No.: (970 j~j~7.3 2~ / <br />,~~~~ I d~ l-~ . ~`"l ~ ~ ( FAX NO.: (9 7 Q ) qs2 ~ $'3 ~~ <br />e-malL• <br />If 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 to this report form along with your map and/or written <br />report. <br />Q a <br />~NS~ LLG' <br />Signature of Corporate Officer, or Owner <br />/Q - f - ~o 0 <br />Date <br />INSTRUCT/ONS ON BACK <br />M: V' ER M rl Vr1 A Sf ER DOC U M EIYI'SU7 -A F-01 <br />