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<br />• III IIIIIIIIIIIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Gravel, Inc. <br />PERMIT NO.: M-1996-008 <br />OPERATION NAME: North R-34 Pit <br />ANNIVERSARY DATE: April 4, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Montrose <br /> <br />~t~on <br />~L~~N~C! <br />APR 0 u ?OOG <br />Division of idinets a ; l:zoloc~y <br />According to C.R.S. 34-32-I_l6(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 resort. Please <br />note tha! an adequately labeled map drat clearly delineates and includes the above elements nwy <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: <br />Contact Name: ~.)oSFO~,. I lf.Ulnct-,,.'~15 <br />Address: Sao I f.~or~l-G~ ~v,st/v.~ ~uf- <br />Company: LIJES~~rn (:r~a3~,[~l.~e, <br />Phone No.: (99o ) ar/9 - -7, 3/ <br />FAX No.: (9'70 ) as/9-~J"/O <br />If there aze 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 forn~ along with your map and/or written <br />report. <br />~tJ ~ Ode -~ - (~ O <br />tgna e of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M ~PERMITNIASTERDOCUMENTSN1~AF-01 <br />