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<br />iiiiiiiiiiiiiiiiiii • <br />RECEIVED <br />PERMITTEE NAME: Doyle JRussell - D r e rase d <br />PERMIT NO.: M-1994-096 <br />OPERATION NAME: Russell Gravel Pit <br />ANNNERSARY DATE: April 14, 2001 <br />APR 1 7 2001 <br />Division of Minerals and Geology <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 ~' // ! A ' " <br />COUNTY: Latimer <br />~;-{ sd/ d <br />According to 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 accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the yeaz, 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 drat clearly delineates and includes dre above elements may <br />since for a written 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: ~ 4 ~ ~_Lti asS ~ <br />Address: 1,1 ~ 3 D ~ ~ /G Q <br />~tJ~IL't,4~K. ~o Sos~g <br />Company: K~S St! ~, ~ MQ V G ~ I't -~" <br />Phone No.: (4 7a) ,'S!i ~ - ~f/o~ <br />FAX No.: (97G) 5G ~ - 7'G/d <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~iGa,rs~, Q ~P~~.... _o. ~- / y - o i <br />signature of orporate Officer, oT r Owner Date <br />INSTRUCTIONS ON BACK <br />M ~V'ERM n~MASTER DOCUM EHTSUI ~ A F~111 <br />