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~ III IIIIIIIIIIIIIIII <br />Ah~.~,-,., sss <br />PERMTTTEE NAME: Asphalt Paving Company <br />PERMIT NO.: M-1990-098 <br />OPERATION NAME: Perry Pit <br />ANNIVERSARY DATE: September 29, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Weld <br />• <br />RECEIVED <br />SEP 111000 <br />tJivisian of Minerals and Geology <br />According to C.R.S. 34-32-116(3)(al. 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 [o affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated <br />to occur during the upcoming yeaz, 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 that an adequately labeled map that clearly delineates and includes the above elements may <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 />Contact Name: JIM KRATTENMAKER <br />Address: 14802 WEST 44TH AVENUE <br />GOLDEN, COLORADO 80403 <br />Company: ASPHALT PAVING CO. <br />Phoue No.: (303 1 279-6611 <br />FAX No.: (303 ) 279-6216 <br />e-mail: Jimliiattenmaker@asphaltpavingco.com <br />If there aze 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 />~~ n~~ September 11, 2000 <br />-e Ott QZ~r <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M 1PERMI7WIASTEftD000MENr5N7~AF-01 <br />