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~~~ I~~II~I~III~~ I~~ ANNUAL REPORT PERMTfTEE NAME: North Weld Gravel PERMIT NO.: M-1976-018 OPERATION NAME: North Weld Gravel ANNNERSARY DATE: October 17, 2000 ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 COUNTY: Weld • t~ 22~d \ ~ l~ ~8 I ~?;rrr,- . ~.; Division of rtir aralsand Geology According to C.R.S. 3v-32-116(3)(a), each year, on the anniversary date oi'the permit, .m operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised annual resort maa and written report to this annual re o~rt. Please note that an adequately labeled map that clearly delineates and includes the above eler,~ents may sttfftce fora writfett report. This pit is worked less than 21 (twenty-one) days a year. There is no increase in acres that have been mined, so the map would be the exact same as the previous map that you already have. Please type or print the current contact person's name, mailing address, and phone number in the space provided: Contact Name: LeRoy A. Bellmore Addres5:13480 W.C. Rd. 100 Nunn, CO 80648-9700 Company: North Weld Grave, Rl, .P Phone No.: (970 8~7-2252 FAX No.: (970 ) 897-2228 If there are additional comments and/or information that should be provided to the Divi:>ion, please provide it on a separate sheet and attach it to this report form along with your map and/or written report. ~ ~ September 26, 2000 i ., ~~ Signature o orpora[e Officer, or Owner Date INSTRUCTIONS DN BACX M:~PER M II V.IASTER DOC UM EMSNI-AF-01