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~ iii iiiiiiiuiiiiiii <br />ANNUAL REPORT <br />PERMITTEE NAME: Owens Brothers Concrete Company <br />PERMIT NO.: M-1996-052 <br />OPERATION NAME: Del Camino Sand and Gravel Mine <br />ANNNERSARY DATE: August 4, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Weld <br />~~1~1 <br />RECEIVED <br />JUL 0 710 <br />DiWyion otMinerals & Geology <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 yeaz, 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 that clearly delineates and inc(ades the above elements may <br />saffice 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: William M. Owens <br />ssist. Treasurer <br />Address: 5550 Sheridan Blvd. <br />Company: Owens Bros. Concrete Co. <br />Phone No.: ( 303 ) 429-5850 <br />Arvada, CO 80002 <br />FAX No.: ( 303 ~ 429-5916 <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 />~~~~ "r ~-~ .Tune 16. 2000 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERM fnMASTERDOCUM ENTSV.I-AF-01 <br />