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~ ~ III IIIIIIIIIIIIIIII <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Canyon Quarry Company ~~ <br />PERMTI' NO.: M-77-376 <br />OPERATION NAME: Canon Dolomite Quarry <br />ANNIVERSARY DATE: September 22, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />DECEIVED <br />!l F G G ~ 1999 <br />Civision of Minerals 8 Geology <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 [he coming year, the dates for [he beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report maa and written report to this <br />annual report. Please note that an adequately labeled map that clearly debtieases and <br />includes the above elements may suffice for a written report. Ll•n c ~t ~rt4CCL •~~(a~,M P -^~°~ f~-/' <br />1'>7aP. No /1n:.J ra,-n i'n~ Ltas o c ccre~. J4!( a~7Cru.-' / ha.r ~~°+t, <br />~ ~ h„- ~~d 7la ~ encrCen ~ h y ~x ; ~r-y~n-~ ~ /., v ~-~1~en y.. <br />Please type or print the current contact person's name, marling address, and phone number in the <br />space provided: <br />Contact Name: Gatrv ~ F)ay,~~ Company: t^z~n.,nn aN~rrti <br />Address:_(~IIO _ Ba x ~ o /~S~i' Phone No.: (7l9 ) X35/- 1/~c~ <br />~'n~orz~+t~ S'~ert~ „~ CL~ d~bO Fax No.: (`7l9) (D~r`Z('~25~ 1 <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 />Signature of Corporate Officer, or Owner Date <br />0 <br />INSTRUCTIONS ON BACK <br />