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~ III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: N Colo Water Conservancy Dist <br />PERMIT NO.: M-1981-086 <br />OPERATION NAME: Borrow Area C <br />ANNIVERSARY DATE: July 21, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Grand <br />• <br />orhs~ /O` I~~i~~~ <br />oho/ ~~ <br />M~~a/S&c`°o <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 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 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 map and written report to this annual report. <br />Please note that an adequately labeled map drat clearly delineates and includes the above <br />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 />Northern Colorado Water <br />Contact Name: Jerry A. Westbrook Company: t'nncarvan~~ n; crr; rr <br />Address: P 0 Box 679 Phone No.: (g~n ) fit;7-9L';7 <br />Loveland CO 80539 FAX No.: ( 970 ) 663-6907 <br />e-mails ]westbrook@ncwcd.org <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 />Xf~/I/~.f Julv 5. 2000 <br />Sig tur o C~ rate Officer, or O r Date <br />INSTRUCTIONS ON BACK <br />M:~PERA1rIlMASTER DOCUMEI~IfSV.7~AF~01 <br />