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999 <br /> ANNUAL REPORT N-4 :�o I X <br /> PERMITTEE NAME: Pete Lien and Sons, Inc. UUU <br /> PERMIT NO.: M-1977-304 <br /> OPERATION NAME: Rex Quarry - Sec 36 EC���e® <br /> ANNIVERSARY DATE: September 26, 2000 R 2�90 <br /> ANNUAL <br /> :FEE DUE <br /> ON ANNIVERSARY DATE: $688.00 SEPt�lnela`SaadpeDwgl <br /> COUNTer vvako <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pemiit, 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 labeled map that clearly delineates and includes the above elements tnay <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 Cot ColoradoZien Company,div of Pete <br /> Lecia Craft — Lien & Sons, Inc. <br /> AddressPete Lien & Sons, Inc. Phc 970-493-7017 <br /> PO Box 767 FA 970493-1063 <br /> —Rapid City, SD 57702 Icraft@petelien.com <br /> e-m-. <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report form along with your map and/or written <br /> report. <br /> ka, �� — qj,�E/ap <br /> Signature of er Date <br /> `l/�t.VtiLAVlIM11.L�l�C � <br /> INSTRUCTIONS ON BACK <br /> h1:�PERKIMM ASTER DOCUMENTSW-AF-01 <br />