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~IIII~II~II~II~~II~ <br />sss <br />ANNUAL REPORT <br />PERMITTEE NAME: Clyde and Marie Couch <br />PERMIT NO.: M-1989-023 <br />OPERATION NAME: Caliche School Pit <br />ANNNERSARY DATE: March 9, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Logan <br />l,J <br />Division oJMi~rdb 8 Geo <br />bDY <br />RECENED <br />SAN 2 4 2000 <br />~~ ~7 ~A <br />According to C.R.S. 34-32-! ! 6(3)(a), each year, on the anniversar~~ date of the permit, an operator sha!] <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 [he preceding year, new disturbances [hat 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 vour revised annual report map and written report to this annual report. Please <br />mote that ar. crdeynately labeler! Wrap that clearly delinentes and includes the above elements may <br />suffice for a written report. ~ ,1 ~ `I I ~~ <br />L ~zcte/ed. 'ho ~yr,~ Ar Insy-YUC~ro,-~5 ~~ <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: o~.~ e, <br />Address:" 5 # Phone No.: (~~a 1 F; ~~ -~ a ~ 4' <br />~-~" f, i7~ (~n ~i~~.S" ( 1 FAX No.: ( ~)y., °`-T- <br />~ira~' /S Inc ~ffl~~n ~roYn i-.?S'~~.eZ/ ~c 55 1~~~ ~~00 ]~D ASS <br />C.t?nrc ~ern,oUe~ <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 />Signa ure f Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />Al NF,RA7IN.IASTE 2D000AIEM'SV.1~AF-01 <br />