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~ III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERIviI"I'TEE NAME: Florence Sand & Gravel <br />PERMIT NO.: M-1992-051 <br />OPERATION NAME: Florence Sand & Gravel Pit <br />ANNIVERSARY DATE: August 11, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Fremont <br /> <br />RECEIVED <br />AUG 0) pp00 <br />Dltrision of Minerals and Geology <br />According to C.R.S. 34-32-116(3)(a), each year. on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised annual report maa and written resort to this annual resort. P[euse <br />note thnt nn adequntely lnbeled mnp thnt clenrh~ delineates and inckrdes the above elements may <br />suffice for u written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />F/ov ~ ~ ~ Q 6~w c <br />Contact Name: De~ ~~~o._~ ~~~/ <br />Address: 7 999 S ~ 5'T <br />Vizr~~o SP ~b ~ ~/.~ SAO <br />Company: Q~ d ~vw ~~ / <br />Phone No.: (7/~ ) 7P~ -pas-5 <br />FAX N <br />e-mail: <br />1f there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />~/ ~-;Z- aooo <br />Signature o C rporate OfFicer, or Owner Date <br />INSTRUCTIONS ON BACK <br />~at~ <br />A1.~PERM fl V.7 ASTER DOCUM EMSN1 ~ AF-01 <br />