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~~~ II~I~~II~~~~~ I~~ <br />sss <br />ANNUAL REPORT <br />i~ <br />PERMITTEE NAME: Western Slope Construction Co <br />PERMIT NO.: M-1983-209 <br />OPERATION NAME: Benton Dawson Gravel <br />RECEIVED <br />JUL i 9 2000 <br />Dlrision of Minerals and Geology <br />ANNNERSARY DATE: July 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $2-250- ~~~~ ~ <br />COUNTY: Delta <br />1'A IU <br />According t2 C.R.S. 34-32-116~3)(a), each year, on the anniversary_date of.the permit an operatorshall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note shat an ndeyuntely labeled nrnp that clearly delineates and inc6rdes the above elements may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~Y~c~/~%, I/~i /t2/e <br />Address: ~.~~-~ TY'C T -ham <br />1~~ j ~~ ~: , ~~~/~~ <br />Company: ~ ~l~/U~S/~ t'.c%~~CE~% ~~~ <br />Phone No.: ( r ~~~ )~7~~'/(~~'~~J ~C~iC~%/ ~s <br />FAX No.: <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to [his report form along with your map and/or written <br />report. <br />$~ture of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />Al ~~PERMfIV.~1A5TER DOCUMENTSNA-AF-01 <br />