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<br />J' <br />~ III IIIIIIIIIIIIIIII ~ ~~ `j' ~~ <br />999 0 <br />ANNUAL tc>:t-urcr <br />~ECE~V~4 <br />PERMITTEE NAME: Delta Sand & Gravel Company <br />SfP <br />PERMTI' NO.: M-94-097 Diyy 1 ~ 199g <br />OPERATION NAME: Spring Creek Pit onotM~neta~& ~eolvBY <br />ANNIVERSARY DATE: September 12, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Montrose <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 to date and during the preceding yeaz, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />PIeBSC attach VOUr TQVISt'.d BIInU81 TepOTt map and Wr1ttCU PCpOPt t0 thlS <br />annual rP,pOCt. Please note that an adequately labeled map that clearly delineates and <br />includes the above elements may suffice 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 />Contact Name: ./~iC~A-C~ ~IpP Company: Ye~~il ~itvDl' Ar+'~t' C~IrF!/e~CO• <br />Address: ~~ • BoY ~0-3 / Phone No.: ( q~6 ) ~'~~ - q~~ <br />~el7fJ . ~~ ~~~//6 Fax No.: ( 9y0 ) ~75~ ~3~C <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />~~~~ ~ 9~~~9~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />