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<br /> <br />Rf=CEINED <br />ANNUAL REPORT <br />FED U 3 2000 <br />Division of Minerab & Geology <br />PERMITTEE NAME: Custer County <br />PERMIT NO.: M95026 <br />OPERATION NAME: Gravel Pit M-093* <br />ANNIVERSARY DATE: August 24, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Custer <br />p'~E. <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on [he anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. P/ease <br />note that an adegar~rely Inbeled map that clearly rlelureutes and inch:de:; the above elements n:a~~ <br />since for n x~ritten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~,~~PS~L~~,Js <br />Addres~~/~G 9 (i-it sfc/ ~f. -~ <br />cd~b ~ras~ <br />Company: CGf,ST Qr ~O u rt ?/ <br />Phone No.: L7/`I) 7 g'~~ ~` a 8/ <br />Fax No.: O/9) ~~~ - 039 <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 />Signature of rporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />