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III IIIIIIIII IIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Las Animas County <br />PERMIT NO.: M-1983-039 <br />OPERATION NAME: Airport Gravel Pit <br />ANNNERSARY DATE: Apri128, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Las Animas <br />T~ <br />1°~i 111 <br />`=~EIVE® <br />ihAR 2 4 2000 <br />.~ ~:,ineral~ & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this annual report. <br />P[ense note that an adequately labeled map that clearly delineates and includes the above <br />elements may su~ee for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~0 6r. T' .( u!'>°~-o <br />Address: -700 F ~,~ f .~~ /~/ <br />Company: ~a; Rni~A~ ~-o~,.,''r <br />Phone No.: (7~ 5- ) O Y6' 'Y~/~~ ~. f ~ <br />FAX No.: f 7~S ) O y6 - 7/60 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />l' <br />,~-/G-oU <br />Signature of Corporate Offi or Owner Date <br />INSTRUCTIONS ON BACK <br />M 1PERM fI V.1 ASTERDOC U M EM'SU1-AF-09 <br />