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III III'lllllllll'll � � � �IJ' 71a o0 <br /> 999 <br /> ANNUAL FEE and REPORT REOUEST <br /> RECEIVED <br /> PERMITTEE NAME: Hall-Irwin Corporation <br /> DEC 0 4 2000 <br /> PERMIT NO.: M-1996-060 <br /> OPERATION NAME: Firestien Pit Division of Minerals and Geology <br /> ANNIVERSARY DATE: December31, 2000 <br /> ANNUAL FEE DUE: $688.00(Due on or before your anniversary date) <br /> COUNTY: Weld <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, 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 to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report man to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may seffice.for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> PermitteeContact: Jeff Gregg �e�� ly-94, <br /> Permittee Name: Hall-Irwin Corporation / <br /> Address: 3026 4th Ave. <br /> Greeley, CO 80631 <br /> Phone Number: (970)352-6057 r/ <br /> Fax Number: q7G 3S-2 (flZc�re/ <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> SO nature o Corporate Officer or Owner <br /> (?, Ifz0c <br /> Date <br /> M'TERM ITMASTERDOCUMEI.T SW-AF-01 <br />