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<br />ANNUAL REPORT <br />PERMITTEE NAME: John Terry & Ward Nichols <br />PERMIT NO.: M-1981-013 <br />OPERATION NAME: Nichols Gravel Pit <br />ANNNERSARY DATE: October 21, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Mesa <br /> <br />~~~~~qJ~°G7~ <br />OCT 1 1 T_~'~D <br />Division oT Minerals and Geology <br />_ Acc rdin to~.R.S. 34- 2-116 3 (a), eachyea~ on the_anniversarv dates of the permit, an operator_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 upcoming 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 that an adequately lnbeled map that clearly delineates and includes the above elemenls 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: ~0~ ~I~lkOI,S <br />Address: P d • 6oK Z 8S <br />5~ o00 1L E Q~. <br />V~1=s ~- ~ g i ~~13 <br />Company: ~iCk~ro~S GQIWi%L PIl"Lt-P <br />Phone No.: (~I~ o) Z t~ f~ - SS Z <br />FAX No.: (~ 7~ 1 Z~ tg - J 7 3 L <br />e-mail: ,~L-233 aG56~ • Ilc~ <br />If there aze additional comments and/or information [hat 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 />'~ ~~L /~"(~'OII <br />Sign re of Corporate Officer, or Owner Date <br />INSTIL UCTIONS ON BACK <br />M1PERM rIN1ASTERD000MEMSN7-AF-01 <br />