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III 999 III <br /> ANNUAL REPORT <br /> PERMITTEE NAME: L & L Ready Mix ® ®®® <br /> PERMIT NO.: M-98-059 <br /> ® DECEIVED <br /> OPERATION NAME: Sunny Dale Farm Pit <br /> SEP 15 1999 <br /> ANNIVERSARY DATE: September 15, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 00,"of Minerals&Geology <br /> COUNTY: Phillips <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 reponand 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 <br /> annual report. Please note that an adequately labeled map that clearly delineates and <br /> includes the above elements may since 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 /> Contact Name: LAut21N£ KoELL,vE/L Company: <br /> Address: 910 S CVCO. /qv X 2-4 Phone No.: <br /> NA�[rcvy, Co 00,0;73/-0? Fax No.: ( ) <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 /> iA,4# z Kr YI 9-�3 yy <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br />