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~ III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMTI'TEE NAME: Morgan Sand and Gravel <br />PERMIT NO.: M-77-094 <br />OPERATION NAME: Westhoff Pit <br />ANNIVERSARY DATE: December 20, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Morgan <br />r <br />pFC 1 : 1JJ9 <br />. ,,;,;nerals & Geology <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee,-a'report and map showing the extent of current disturbances to affected - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report maa and written report to this annual resort. P(ense <br />note that nn adequately labeled map that clearly delineates mrd irrcludes the above elements may <br />suffice for n written: report. <br /> <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ( Company: ~~~~`-/ <br />Adddress: ~d ~U'X /y~3 Phone No.: (~I~~) ~67~ ~~ <br />0 ~ t,c t)/ Fax No.: t'~l~) 67 - Sid <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 />tune o orporate O ~ r Owner Date <br />,_ <br />,~ <br />~ECE-~ED <br />INSTRUCTIONS ON BACK <br />