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rtir~_ <br /> ~~ i) GU <br /> <br />~ n - . :.• <br />~~rnl. r•E:F~ nnlt eF:r(arr er•.ut F•sr _ .~ <br /> MAY 3 12006 <br />PIiIZ\11l'Ilfl-. NA111•.: ( Ag);rl:};atc Induslrles- 1\'CN. Inc DlvtsiuaafMiaer <br />b <br /> <br />' a <br />~~~ <br />oamoor <br />PI•I2\1fl <br />NU.: 1.- ~I-211nD•ox2 <br />t 11'I IZ:11'If )N X;1411', F: xih titrcct Openttion <br />ANNIVI IZtiAR\' I)•1'I't.: )luv 3. 211(16 <br />ANNU(\I PF.I•: DI'I•: ~6xx.I1111Uuc un or hcfom your nnnivcrsarv datcl <br /> <br />Aceonlmg to (' It.S. 34-32S-I I6 or l'.K.J. ?A-32-I 16, each year, on the annlvet>an date o(the pernut. nn operator <br />shall submit the annual Ice, a report and map show'Ing the extent of current dlsulrbances ut alTccted land. <br />reclum;ulon accomplishcJ la dote and during the precedin{: year. neu diswrhuncrs that ore anhclp:ucd to IKCUr <br />durng the upeonung yrar, rrcluntahan that will he Ixrlbmted dunng the conung yrar, the duty. Ibr the beginning <br />of acuve upcrahons, and the dote active nperauons ceased tix the year, if any. <br />'il':1\P :Itlach \llllr 1'1.1'1\(`II N'r11IL'll all itual rl`Illlrl t111d allllnAl rL'nnrt lllflll Lll. Illll dllrnl. /'ll t(tr' llnh' !hd( itl7 <br />udequuteh• labeled ,nap that rteru It• del+nearet and inelrrdes +ke abate elernenr.c mm' sufjiee /nr a /rrilu•n report. <br />Division records mdlcate the ti>Iluwtng perntittce contact inlitrnultion. Please verify and make any necessary <br />changcti: ''ll <br />I'crmittre ('ontnct: Wikr-Reter h n r s /~~ CJ~ S!1r ` <br />Permttlcc Nantc: Aggregate Induslnes - \I'l'R, Inc. _ <br />Address: 17071'ulc I31vd., Ste. 100 <br />t ioldett. (•O S(IJIII <br />Phone Number. 1-~Udi!J~5-1(!IL ~Q~Jf~? 3.3".~-o?OO.S~ ~ <br />I~a.K Numhrr; C92Q )_ ~?~ - ~J'-fro ~ <br />II• vau have :uldulunal conunents and'or mlitrmatum that should Ix provided m the Utv lsum, please provide It <br />bclaw or attach It lu this limn :dung with your wnttcn report and map. :lnnual IZcport marucuons are enclosed. <br />~'~~- ~' <br />tiignature of('orporate U(lircr. Owner, ur Ikslgnec <br />~ )ac <br />