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<br />ANNUAL REPORT <br />c,~:~ ~~ ~ s~ .~ <br />~~.6- <br />RECE'~ - ~, <br />ocr r2a~ <br />Civision el :., , G,;olagy <br />PERMITTEE NAME: Pete Lien and Sons, Inc. dba Trans Colorado Concrete <br />PERMIT NO.: M-1979-192 <br />OPERATION NAME: Spotted Burro Pit <br />ANNNERSARY DATE: October 14, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Fremont <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 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 />note that an adequately labeled map that clearly delineates and includes the above elements may <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 NLecia Craft <br />Address:_Pete Lien & Sons, Inc. <br />PO Box 767 <br />-~~apid City, SD 57702 <br />Com Colorado Lien Company, div of Pete <br />Lien & Sons,Inc. <br />_ Phor970-493-7017 <br />FAX 970-493-1063 <br />]craft(a~petelien.com <br />e-maa.. <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 />Gr, ~I <br />Signature of Corpo to Officer, or Owner <br />~rn+.u{nAV~yw,t~u,L ~YI.P1ti~ <br />Date <br />INSTRUCTIONS ON BACK <br />M ~PERMEfV.1ASTERD000MENfSN1-AF-01 <br />