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<br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-1980-013 <br />OPERATION NAME: Elkhorn Springs Pit <br />ANNNERSARY DATE: April 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Park <br />RECD IVL~ <br />MAR 2 4 2000 <br />CiviSwn of h1~r.2r;t~ & Geo~gy <br />According to C.R.S. 34-32-] lb(3)(a), each year, on the anniversary date of 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 the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />P/ease dote that an ndeyucuely labeled map that clear!}~ delineates and includes the above <br />elements may sake for ct writtett 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: r~b.~ Y L 1~.,~_~ Company: t~~.t CoK <br />Address: X03 /y7 PhoneNo.: (~19 )83~-4~?t53 <br />rte,-.-~,/ u Co FSGtI`/o FAXNo.:( ~t9 ) 83c.-NZ 75 <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 i[ to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Dale <br />/NSTRUCTIONS ON BACK <br />M ~PERMINIASTERDOCUAIENTSN7-AF~O{ <br />