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.. ~ ~ ~ ~IIIIIIIIIIIIIIIIIII- <br />' ANNUAL REPORT <br />J~Q <br />PERMITTEE NAME: Asphalt Gravel Products, Inc. v` ~ ~Q <br />4~G '~~ ~ av~~`co~ <br />PERMIT NO.: M-1978-271 ~ OLD ,° <br />OPERATION NAME: Garrett Pit °~et:~ <br />ANNNERSARY DATE: October 30, 2000 o~,;.s`O° <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Conejos <br />_ _ _ According t_o_C.R.S. 34_32-116(3)(a), each year,-on-the anniversarydste 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 yeaz, new disturbances that aze 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 vour revised annual report map and written report to this annual report. Please <br />note that art adequately labeled map that clearly delineates and includes the above elements may <br />suffice 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: Rock I. Southway <br />Address: 117 White Pine Dr. <br />Company: Asphalt Gravel Products <br />Phone No.: (719 1 589-5103 <br />Alamosa, CO 81101 <br />FAX No.: ( 719 ~ 589-5522 <br />If there aze additional comments and/or information that should be provided [o 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 />Signature of Corporate Office , or Owner <br />10/26/00 <br />Date <br />INSTRUCTIONS ON BACK <br />M:~PERM n Vv1ASTER DOCU M EMSN1-AF-OI <br />