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'' III IIIIIIIIIIIIIIII ~ <br />9~ <br />ANNUAL REPORT <br />PERMffTEE NAME: Western Slope Construction Co <br />PERMIT NO.: M-83-209 <br />OPERATION NAME: Benton Dawson Gravel <br />ANNIVERSARY DATE: July 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Delta <br />RECEIVED <br />JUL 21 1999 <br />Division of tdinera!~ & Geology <br />r~-~n <br />According [v C.R.S. 34-3~-1 16(,~l(al earl~vear on the anniversary dare of rh~Ferrnit, an <br />operator shall st:br^~t the annual fee, a repoit and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding yeaz, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any.. <br />.Please attach.vour revised annual report maa and written resort to this <br />annual report. Please note that an adequately labeled map that clearly delineates and <br />includes the above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />--~~;;,, / <br />Contact Name: J ~`t ~I. IK ~~~1/'1 ~ <br />Address: /~:~~ ~K-[-'L1 ~7~ <br />Company: /gyp <br />Phone No.: ( ~~~) t, 7~~ 7C~C~ L.C~N/~.'~-5 <br />Fax No.: <br />R 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 />~~~gnature of Corporate Officer, or Owner Date <br /> <br />INSTRUCTIONS ON BACK <br />