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- -~ ~ - ` iii iiiiiiiiiiiiiiii~ <br />, _ .. 999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Andesite Rock Company <br />PERMIT NO.: M-88-048 <br />OPERATION NAME: Carr Gravel Resource <br />ANNNERSARY DATE: September 22, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br /> <br />~a~~~ <br />RECEI!/ED <br />Skl= ~ 5 1999 <br />Division of Minerab & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for [he year, if any. <br />Please attach your revised annual resort maa and written resort to this <br />annual report. Please note that an adequately labeled map that clearly delineates and <br />includes the above elements may Buff ce for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact N-a7me: ~' ~ •~~~~ ( Company:fYN~SI'1'~ ~C~K-(~ZJ- <br />Address: t ~JZ~ ,~-~,~^~~,~ ~E/ Phone No.: (~.7) ~~gy~7- ~~(GAL7p <br />l ~ LCD Fax No.: (~~) Zr9~/ ~ ~ ~'-f~~. <br />D~~S~t~ . C.a <br />If there aze ditto comments and/or information that should be provided to the Division, <br />please p vrde ' on a separate sheet and attach it to this report form along with your map and/or <br /> <br />Corporate Officer, or Owner <br />~~. <br />Date <br />INSTRUCTIONS ON BACK <br />