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r -~~ <br />~ ~ ~~IIIIIIIIIIIIIIIII ~ RECEIVED <br />• ANIVVrsi, nciva., ppR 18 2000 <br />Division of Minerals gGeoiog~~ <br />PERMITTEE NAME: Lucio Vasquez <br />PERMIT NO.: M-1994-121 <br />OPERATION NAME: Vasquez Quarry No 2 <br />ANNNERSARY DATE: April 13, 2000 ',~ 1 a' <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Boulder <br />- .4ccordirg to C.R:S: 34-32-116(3)(x); each ye_v; on the-anniversary date of the perntit, an opeFalo~ 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 year, new disturbances that are anticipated <br />to occur during the upccming 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 map and written report to this annual report. Please <br />note drat an adequately labeled ntnp that clearly delinentes and includes the above elements Holy <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: ~ <br />Phone No.: --4~y`es~-~ <br />FAX No.: -C+~ 7`~- <br />It there are addrttonal comments and/or mtormauon that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M.IPERMFMIASTERD000MEMSNI-AF OI <br />