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~~~ ~~~~~~~~~~~~~ ~~~ ~ RECEIVED <br />999 OCT 14 1999 <br />ANNUAL REPORT Division of Mineray 8 GttobOY <br />PERMITTEE NAME: Pete Lien and Sons, Inc. dba Trans Colorado Concrete <br />PERMIT NO.: M-79-192 <br />OPERATION NAME: Spotted Burro Pit <br />ANNIVERSARY DATE: October 14, 1999 ®® <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 ' <br />COUNTY: Fremont <br />According to C.R.S. 34-32-116(3)(a), 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 />to affected land, reclamation accomplished [o date and during the preceding year, new <br />disturbances [hat are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming 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 <br />annual repOCt. P/ease note tkat nn adequately labeler/ mnp dial clearly delineates nud <br />includes the above elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Cor - - <br />Company: <br />Ad~Lecia Craft Phone No.: (Io05 ) ~~~ZZZB <br />Pete Lien & Sons, Inc. <br />PO Box 767 Fax No.: ((pQrJ ) ~l~-~ZI-I~C <br />Rapid City, SD 57709 <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 i[ to this report form along with your map and/or <br />written report. <br />~~~"~ <br />~ z~ S <br />Signature of Corporate Officer, or Owner Date <br />~!t'~• f+.~Ti. o-s.....r,. <br />INSTRUCTIONS ON BACK <br />