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~ • III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMTI'TEE NAME: United Companies of Mesa County <br />PERMIT NO.: M-83-142 <br />OPERATION NAME: Hall Pit <br />ANNNERSARY DATE: December 21, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Mesa <br />P'~G~\~~ gg9 y <br />C 1~ &C~'. <br />plc. fah <br />,~a r' <br />0 <br />~~~s~0° <br />®~ t ,~ <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 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 year, <br />if any. <br />Please attach your revised annual report maa and written report to this annual report. Please <br />note drat nn udequntely labeled ntnp that cleru'ly delineates and includes Nye above elements may <br />since 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: Taut R. Mrfa~heP <br />P.O. Box 36(19 <br />Company: rani tort r'nm Pani og <br />Phone No.: (970) 243-4900 <br />Fax No.: (g~n) 9L7-4Q45 <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 />l N'!(' /4 - ~~rSiCl.f nfi December 14,1999 <br />Signature of o rate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />