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• iii iiuiiiiiiia iii • <br />ANNUAL REPORT <br />/ . ~~~,~4VEU <br />PERMITTEE NAME: Ace West Trucking, Inc. 20a~ <br />PERMIT CJO.: M-1987-103 ~ ~ iU^~ ' <br />. ~~ ~` ~ Geology' <br />OPERATION NAME: East Douglas Ptt ~ . ,~r ~~~ p~~~:a~s & <br />ANNIVERSARY DATE: August 24, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUNTY: Rio Blanco <br />According to C.R.S. 34-32-116(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 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 />since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he space <br />provided: ~\ <br />Contact Name: 1J0 r1 ,l UOKS <br />Address:_ Q• d • ~~ <br />' ~ 8/ 8 <br />Company: NCt. ~ 1 <br />Phone No.: (97U) ~ 7f- D?~~-~ <br />FAX No.: (9 ~~) ~ ~1~- 070 L <br />e-mail: <br />If there are 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 form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Ownet Date <br />INSTRUCTIONS ON BACK <br />M. WERMfTUfASTEF:D000MEMSNI-AF-01 <br />