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;. <br />~~W <br />ANNUAL REPORT <br />PERMITTEE NAME~]~oL~'at_County <br />PERMIT NO.; M-11980-248 <br />OPERATION NAME: Lyons Pit No 2 <br />ANNNERSARY DATE: February 4, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Moffat <br />~ iii iiiiiiiii-iiiiii <br />.-cGE1VED <br />J A~ 21 ~p00 <br />,.;,;Hera" ~teoto9Y <br />,~;,~ <br />~~~' ~ t- <br />I, <br />DEC 2 7 ~~ ~I ~,I <br />i1,-- ~%„ <br />According to C.R.S. 34-32-116(3)(x); each year, on the annivei-sary date~o£the=permit,-an ~ ~ <br />operator shall submit the annual fee, a report and 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 [he date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this annual resort. <br />Please note thnt an adegruetely labeled map that clearly delineates and includes the above <br />elements mny suffice 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 />l7r~t,.~vs F~ • ~c~E-S <br />Contact Name: <br />Address: }~. O • ~ o X, La Ca -7 <br />Cf2~4tG, ~ c3/ro 2. L <br />Mot=r-A~i Co~sn~7'N IZoAP APT <br />Company: <br />Phone No.: (el7D ) B Z~- 3 Z l 1 <br />FAX No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide i[ on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />STo GLPi L.t;_ ~~I~/~i 10~ ©tiJ L..( - /U !~ 1~.(,qP <br />~tzCrt-SS ,Z..~ 1 <br />-/O -~~a y <br />Signature of Corpor to Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M. W ER M flwl ASTER DOCU MEM'SU1-AF~Pt <br />