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~ 11111111l11lllll111 <br />ANNUAL REPORT <br />PERMITTEE NAME: Ouray County <br />PERMIT NO.: M-91-097 <br />OPERATION NAME: Triple R Gravel Pit <br />ANNIVERSARY DATE: November 26, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Montrose <br />• <br />,, <br />`'~-CF_~VED <br />N011 1 ~ 1999 <br />,. 'eray & Geol <br />aJl' <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the 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 yeaz, new disturbances that are <br />anticipated to occur during the upcoming yeaz, reclamation that will be performed during the coming <br />yeaz, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adequately 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: <br />Contact Name: '~-.' o13 GJo I Fo~n Company: ~~t~cAS' CC~C.vntY <br />Adddress: 7~c7 13r~,~ ySG Phone No.: (o17Q toa (o- S3gl <br />l~v~ 6u>A~ /a Fax No.: (970) r!ont ~ - y5~39 <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 Corporate Off er, or Owner Date <br />INSTRUCTIONS ON BACK <br />