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;- <br />_. <br />ANNUAL REPORT <br />~~ I t (J57, oo~ <br />~r5_ ~-" 'wrl <br />$t.' . „ ; , <br />PERMITTEE NAME: CAMAS Colorado, Inc. <br />PERMIT NO.: M-1997-014 <br />OPERATION NAME: Deer Creek Quarry <br />ANNNERSARY DATE: September 12, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.(10 <br />COUNTY: Jefferson <br />0(Yisiau of Alinarals aad GeoloBY <br />REG :~'~1.=~ <br />'~~ 1 %' 2D0O <br />Divicia ~ cf A•I:ncrals & Ge~!,~, <br />According [o 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 accom lis and during the preceding year, new disturbances that are antici at d <br />to occur unng the upcoming year, reclamation t_ h~ a` performed during e_com~gryEar, 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 an adequately labeled map that clearly delineates and Includes the above elements may <br />since for « written repa7. <br />Please type or print the curzent contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Namet~Q/Y1Il°,t!ilL~~l~,j,t <br />Address: ~ <br />3c~n5 ~. TeJI ~ r <br />~tk~~It~vx.~r~ a?~S <br />Company: ~~1 ~a!A m ~Xl//l.t~~(i l <br />Phone No.: (~~3 ) ~l1„ ~ 5~ <br />--m <br />FAX No.: (~(~ ) `l11~ - 5~-9~ <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />1~ 7~/~ <br />1 ~ ~`' <br />Signature of Corporate Officer, or Owner <br />~ 15"" ~ <br />Date <br />INSTRUCTIONS ON BACK <br />M'~PERM1I I7 V.1 ASI'ERDOCUM ENTSNt-AF-D7 <br />