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., <br /> <br />~ III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: L & L Ready Mix <br />PERMIT NO.: M-1998-059 <br />OPERATION NAME: Sunny Dale Farm Pit <br />ANNNERSARY DATE: September 15, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Phillips <br />~ ~ ~~~ ~~ <br />RECEIVED <br />SHP 1 ~ 2000 <br />DivIAbB~Mitterais er ~eob9Y <br />According to C.R.S. 34,32-1 l6(3)(a), each year, on the anniversary date of the~ermit~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 yeaz, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />Hole that nn adequately labeled map that clearly delineates and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />/1~iKF~[ L. /<oEcctiF~ d <br />Contact Name: LALIR W ~ K ~ ~~CN£.i2 Company: L- £ L /~fJF!~} /~~X <br />Address: FS~O S. CO GO . A V ~ Phone No.: (y,U) 77~ -rp ~~~ <br />0 .OO~C z l ~ FAX No.: (~~U) 77~/ ~y//Y <br />Nf}xfuN, ~c~ g"~73/ a-mail: <br />If there aze additional comments and/or information that should be provided to the 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 />~~~~~ y - i y yo <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERMI"f V.1ASTERD000MENTSUI-AF-01 <br />