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<br />.~ <br />• III IIIIIIIII IIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Centennial Materials, Inc. <br />PERMIT NO.: M-1989-065 <br />OPERATION NAME: Winkler Light Aggregate Quarry <br />ANNIVERSARY DATE: April 26, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Douglas <br /> <br />APR 14 2000 <br />Division of Minerals & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date 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 [o date and during the preceding year, new disturbances [hat are anticipated <br />[o occur during the upcoming year, reclamation that will be performed during the coming year, <br />the dates for [he beginning of active operations, and the date active operations ceased for [he year, <br />if any. <br />Please attach your revised annual report maa and written report to this annual resort. Please <br />note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice jor a written report. <br />Please type of print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Donald L. Ooheim Company: Centennial Materials <br />Address:: 1101 Topeka Way Phone No.:~303 1 688-11831 688-1183 <br />Castle Rock, CO 80104 Fax No.: (303 1 660-9146 <br />If there aze additional comments and/or information that 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 />o ~/ U <br />Signature of Corporate Officer, o Owner Date <br />INSTRUCTIONS ON BACK <br />~1'al~l <br /> <br />M:\PE RMI T/MA STE RDOC U MENTSU1-AF-01 <br />