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• ~ III IIIIIIIIIIIII III • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: J and M Schmahl <br />PERMIT NO.: M•1984-001 <br />OPERATION NAME: Surface Rock Pit <br />ANNNERSARY DATE: April 4, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Mesa <br />~CEIVED <br />~R 10 2000 <br />,w,,nerals & GeoV09Y <br />According to C.R.S. 34-32-116(3)(a)_ each year. on the. anniversary date of the perr*_ti , an operator sha!1 <br />submit the annual fee, a report and map showing the extent of current disturbances t affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances t tare anticipated <br />to occur during the upcoming year, reclamation [hat will be performed during the co ing year, the <br />dates for the beginning of active operations, and the date active operations ceased fo the year, if any. <br />note that an adequately labeled Wrap drat clearly delineates and inclredes Jhe above e <br />suffice for a written report. /f/4 /l/Cv+i ,Oi sfw~ 6 eve (r'/'i ow~~ ; <br />/y/.~~v c /! ,T'/r't A // Airt~w.v% d F S'Td cVe T~ji;S' y/'• F <br />SAm~ Si~J`c A~ /.vsf y~• <br />Please type or print the current contact person's name, mailing address. and phone n <br />provided: <br />Contact Name: /~ /r ~~ 5-e li ir/ Af?~ Company: / ~ ~ <br />Address: a`Z .1 a / ~! i~ Vim/? ~'l d ~ Phone No.: (1`-~O) . <br />~/~' mil, /Gr- C' a ~4 - ~/Sn-3 FAX No.: (/~%o) ~? <br />.port. Please <br />rents may <br />~D /A A/ Td <br />r m ?'/i ~ <br />ber in the space <br />~ ~~~ <br />~4 y~ <br />i~ /~ <br />If there are additional comments and/or information that should be provided to the 1~vision, please <br />provide it on a separate sheet and attach it to this report form along with your map a d/or written <br />report. <br />ignature of Corporate Officer, or Owner <br />-07-00 <br />Date <br />INSTRUCTIONS ON BACK <br />P~J~1 <br />Al WERMnVNASTERDOCUMENTSNI-AF-01 <br />