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~ Ill llllllllllllllll ~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Weld County <br />PERMTI' NO.: M-1983-213 <br />OPERATION NAME: Lehr Gravel Pit <br />ANNNERSARY DATE: March 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br />~`'G'~99I <br />RECEIVED <br />F ~" o ~-~ Zr ~n <br />pivision of s~fiinetaf3 ~ Geo1o9Y <br />According to C.R.S. 34-32-1 l6(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 [he 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 your revised annual report maa and written resort to this annual report. <br />Please note that nn adequately Inbeled rnap drat clearly delinentes and inclredes the above <br />elements nrny serffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he <br />space provided: <br />Contact Name: ~r~~ /Ue_~s.,n Company: hJa/~ ~,,.~„ ,a,~J,~ !a/„~~ <br />Address: n0 PioY 758 Phone No.: ( 970 135c,-ymn r 3750 <br />FAX No.: ( 97U 1 ivy-(oH9] <br />(Zre ~!'~y ~o p0(,3~ <br />tf 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 o Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PE RM nN7ASTER DOCUM EM'SN1-A F-P1 <br />