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<br />ANNUAL REPORT <br />PERMITTEE NAME: Builders Aggregate Company, Inc. <br />PERMIT NO.: M-1981-112 <br />OPERATION NAME: Builders Aggr Pit <br />ANNNERSARY DATE: September 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Morgan <br />775 \ fag I ~- <br />RECEtV~D <br />AUG 18 1~`J <br />Ilirislon of Minerelc and Geology <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the Permit, an operator shall <br />submit [he 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 maa and written report to this annual report. Please <br />retie thnt an adegnntely 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: ~f <br />Contact Name: Tu'-'~ es ~%~l"!~' Company:~{,~i~/y~tS /7991-~~~fe <br />Address: ~ ~_'~ H~ ,QCcG yei ~//~ Phone No.: (7x'70) ~G 7 63~~f <br />~f /tea!-ga ~i CO/o~ ~~7n~ FAXNo.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />,, ~~ lj~ a 3 ~vOv <br />Signature of Corporate Officer, or Owner Date ~ <br />INSTRUCTIONS ON BACX <br />M.W ERM rIVMASTERDOCUMENTSN1 ~AF-01 <br />