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<br />Y ~ }///n' ~ • ~ III IIIIII III IIII III <br />~'•~'~N..1\ t «' <br />!!!!!! ~~ <br />fir. :.~ I-~ ~~ <br />(J APTNUAL REPORT ® ,~ <br />PERMITTEE NA ~-G'a concrete Company RECEIVED <br />PERMIT ~ Z , <br />OPERATI ME• er Quarry MAY 2 3 2000 <br />ANNIVERSARY DATE: May 27, 2000 DlhsionofMinerals&Geology <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: EI Paso <br />According to C.R.S. 34-32-I 16(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 your revised annual report map and written report to this annual resort. Please <br />note [hat an adequa[ely labeled map that clearly delineates and includes the above elements may <br />suffice jor a written report. <br />Please type of print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Rick Pazaday Company: Castle Concrete Comnanv <br />Address:: PO Box 2379 Phone No.: (719 ) 598-0215 <br />Colorado Snrin¢s. CO 80901 Fax No.: (719 1 598-3053 <br />If there aze 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 />~~i ~~~zr,~~i S ~ z - 00 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: ~P E RM I T/MA S T E RDOC U M E N TS Vv1-AF-01 <br />