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,. <br />ANNUAL xnrv..~ <br />PERMITTEE NAME: Patrick L. Cugnini <br />PERMIT NO.: M-1986-061 <br />OPERATION NAME: Cugnini Gravel Pit <br />ANNNERSARY DATE: July 21, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: La Plata <br />~k #7605~~{ /~~ <br />RECEIVED <br />AUG 16 2000 <br />Division of hNnetals and Geology <br />Accordine [o C.R.S. 34-32-116(3)(x). each year, on the annive[sary date of the Hermit, 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 [he preceding year, new disturbances [hat are anticipated <br />to occur during the upcoming year, reclamation that will be performed during [he coming year, [he <br />dates for the beginning of active operations, and [he 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 />note that nn adequately /nbeled mnp that clearly tlelinentes and includes the nbove elements mny <br />suffice for n 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: ~on L . lao5ne.u <br />Address: p ~ . BoX 310-1 <br />13au-~ e1d , CO S 1122 <br />Company: GoSn F't SortSi~nC• <br />Phone No.: (4-I O ) 88~L - 4533 <br />FAX No.: (~1"lU ) g8+~ - 03'x! <br />e-mail: OIOSfWU ©ft'Y1i .fIC+" <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach i[ to this report form along with your map and/or written <br />report. <br />~ ~ 8 ~ Irk ~ no <br />Signature of Corporate Officer, o Her DatT <br />INSTRUCTIONS ON BACK <br />A1:WERM1IITN4ASTERD000MENTSU7 AF~01 <br />