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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Chaffee County <br />PERMIT NO.: M-1978-194 <br />OPERATION NAME: Pit No 5 <br />ANNNERSARY DATE: June 30, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Chaffee <br />~ III IIIIIIIIIIIIIIII <br />r~+~~~ <br />,,.: , <br />According to C.R.S. 34-32-1 16(3)(x), 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 />[o 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 corning 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 an adequately lnbeled map drat clearly delineates and includes the above <br />elements may suffice for n written report. <br />Please type or print the curcent contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Ct-F~.t~t ~'k:t~P>; Company:l{aoF~~ C~c~r.rrY <br />Address: ~~ P,z~,c [n95 Phone No.: (~ (d ) ~~t - G,~(o ~ <br />SAUDr~ r Cc~ P,12c~ ~ FAX No.: (--i 19 ) ~~-~q~?~ <br />If there are additional comments and/or information that 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 />q-~x-c~~ <br />Si ure of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />MiPERM ITMASTERDOCUMEMSNI~AF~01 <br />