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;~[ <br />w <br />• III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Raymond F. & Robert W. Dellacroc <br />PERMIT NO.: M-1993-050 <br />OPERATION NAME: Dellacroce Pit <br />ANNNERSARY DATE: February 22, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: EI Paso <br />~! <br />~~ 1 11 ~ ~ <br />z <br />RECEIVEC <br />„_.. JAN I q ?pp0 <br />J! ry„ , <br />'b9Y <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 the preceding year, new disturbances that 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 your revised annual report map and written report to this annual report. Please <br />note that cur adequately labeled map dear clearly delineates and includes the nGove elements may <br />since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone nutnber in the space <br />provided: <br />Contact Name: ~f~~ r/ ~[~ i~~LraC ~ <br />Address: ?~/d /.i~ t~~.~o~sT/~o/ <br />~ri/Q S~-.~ l~ <br />~~ ~3'o yam/ <br />Company: <br />PhoneNo.: (7/% 1 ~/~6/'.7/~5~ <br />FAX No.: <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. SEe B>Y~'e/fio /P.epoeT-,~ ~'+/~-P <br />Signature of Corporate Of ~cer or Ownei' <br />~- 3-00 <br />Date <br />INSTRUCTIONS ON BACK <br />M ~PERMrI~M1ASTERD000MENTSUI~AF-01 <br />