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<br />ANNUAL REPORT <br />PERMITTEE NAME: Gillette Sand and Gravel, Inc. <br />PERMIT NO.: M-1992-009 <br />OPERATION NAME: Gillette Pit <br />ANNNERSARY DATE: February 9, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Teller <br />III IIIIIIIIIIIIIIII <br />999 <br />RECEIVED <br />JAN 2 q 2000 <br />Division of Minerals & Geology <br />W°e~~7~~ <br />_According to C.R,S. 34-32-1 16(~.(_a),.each yeah on the anniversary date of the permit, an operator shall <br />submit [he 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 upcoming year, reclamation [hat 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. P/eose <br />note thnt au adequately labeled map that clearly delineates and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he space <br />provided: <br />Contact Name:/ %~/' ~l~G/' Company:(hi~~PTrr .->+~~/0 f ~/~ <br />A//ddress:///~/tY~ /~ /~~/cc~~~G~'~f • Phone No.: (~b7 ) l0 3~/J ~(~ <br />N~~>'r~c r~ D~/~-.~ FAX No.: (.~~ ) ~~~~ ~,~~ <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach i[ to this report form along with your map and/or written <br />report. <br />~ ~ / ~/ <br />Sig ture of Corpor e Offic r, or Owner ate <br />INSTRUCT/ONS ON BACK <br />AI WERMrM1ASTERD000MENTSU7~AF-0I <br />