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:+ <br />• ~ III IIIIIIIIIIIIIIII <br />999 <br />- ~. ANNUAL REPORT ~ <br />~ . ~; '~ <br />PERMITTEE NAME: Brannan Sand & Gravel Company <br />PERMIT NO.: M-1980-183 <br />OPERATION NAME: Pit 29 RECENE~ <br />ANNIVERSARY DATE: January 8, 2000 ~p~ ~ 0 2~a~ <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 ~1vts~onolMl~taySG~lo~ <br />COUNTY: Adams <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 />reclanration accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming yeaz, 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 />rote thnt an adequately labeled map lhnt clearly delineates and includes the 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: ~re~ f "1 Q r J C~~ <br />Address: 4' $ ~ tI g r; a ~.~-e r. 13 ~ V a~ <br />!~t I,,,,,.~ Ca 2~ o z I ~ <br />Company:Drav.v.a,n SawO-~Gva~ <br />Phone No.: (30 3) 5 3 4- l i 3 1 <br />FAX No.: (30 3 ) S 3 ¢-- 2-3 ~ <br />If there are additional comments and/or information that should be provided [o 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 />-3~®O <br />Signature o Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:WERMI-M7ASTERD000AIENTSU1-AF OI <br />