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<br /> <br />RECF"' "~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Lee Roy and Marlene J Rothe <br />PERMIT NO.: M-95-017 <br />OPERATION NAME: Rothe Sand & Gravel Pit <br />ANNIVERSARY DATE: December 18,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Logan <br />JAM U q[ilUO <br />Division of M~nerais 8 Geology <br />According to C.R.S. 34-32.5- l 16(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that aze <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual resort maa and written resort to this annual resort. Please <br />note that ai adegeeately 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: <br />Adddress: ' <br />-S~TQ~~~~ P~75 <br />Company: <br />Phone No.: t/~K~---~E~~7 ~ ~( <br />Fax No.: ( ) <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 this report form along with your map and/or written <br />report. <br />Sign ture of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />