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iiiiiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />--~ ~-- or,, . . <br />,:. <br />~ ~` <br />PERMITTEE NAME: Dick Casey Concrete Inc "' "' `°' `-' <br />PERMI"f NO.: M-78-349 <br />OPERATION NAME: Dick Casey Concr Pit RECEIVER <br />ANNNERSARY DATE: December 20, 1999 DEC 2 0 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />p,;,.,,:.i of Mineray & GeoW9Y <br />COUNTY: Garfield <br />According to C.R.S. 34-32.5-116(3)(a), each year, on [he anniversary date of the permit, an operator <br />shall submit th:, annual fee, a report and map showing the extent of current disturbances to affected - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note rhnt an adequntely lnbeled mnp that clenr[y delineates and includes the nbove elements nmy <br />sufjlce for n k~ritten 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: Shawn Vondette COmpany:Dick Casey Concrete Co. <br />Adddress: P.O. Box 1815 Phone No.: (970) 625-1464 <br />_o; ato r.. SlFi S.p Fax NO.: (970) 625-1486 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report form along with your map and/or written <br />report. ~ <br />of Corporate Oft'icer, or Owner <br />Dec, / ~ / 99~ <br />Date <br />t. <br />INSTRUCTIONS ON BACK <br />