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<br /> <br /> <br />ANNUAL REPORT <br /> <br />DECEIVED <br />PERMITTEE NAME: Washington County ~ MAR 2 2 '~~~~ <br />PERMIT NO.: M-1988-032 <br />OPERATION NAME: Fassler Gravel Pit +'~•.~s~on of Minerel68 G. <br />ANNIVERSARY DATE: May 18, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 ®. ~ ®®® <br />COUNTY: Washington <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 repoR 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 maa and written report to this annual report. <br />Please note that nn adequately labeled map that c/early delineates and includes the above <br />elements may suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />ContactName:~i'60~ ~~~,..,~2R-c.~ Company: 1~c.,.~.....~% (~ ~-r~i <br />Address: ~ /,5J3 ~~ Phone No.: (~3Hj~r/~~ <br />~~LS.o-,,., ~.~~ S!a 7 2 ~ FAX No.: ( 3 ~S1 ,~ 7 0 2- <br />If there are additional comments and/or information that should be provided [o 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 />Signature of Corpo to Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A7'tPERAtIP.1 ASTERDOCUAt ENTSV+I-AF-OS <br />