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\-~ V <br />• III IIIIIIIII IIII III • <br />ANNUAL REPORT <br />' ~'ECEIVED <br />PERMITTEE NAME: Parkerson Construction Co. FF(3 1 4 2(1()(I <br />PERMIT NO.: M-1987-178 <br />OPERATION NAME: 31 Road Pit <br />ANNNERSARY DATE: February 12, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Mesa <br />.. ,:, „ .+unerab & Geology <br />Pe1111 <br />According to C.R.S. 34-32-1 16(3)(a), each year, on [he 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 yeaz, 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 report. Please <br />mote tha! rut ndequntely labeled map that clenrly 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 the space <br />provided: <br />COn[aCT Name: Alan Parkerson Company: Parkerson Construction, Inc. <br />Address: 710 S. 15th Street Phone No.: ( 970) 242-8134 <br />Grand Junction, CO 81501 FAX No.:( c~z0) ~4~_uo~ ~ <br />If there are additional comments and/or information that should be provided to [he 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 orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERMfMi ASTER DOCU M ENTSUA ~ AF-01 <br />