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i - <br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Hard Rock Paving & Redi-Mix, Inc. <br />PERA4IT NO.: M-1984-101 <br />OPERATION NAME: ,Chaparral Meadows Pit <br />ANNNERSARY DATE: August 13, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: 5688.00 <br />COUNTY: Park <br />cl~ ~ Iq,3~}S ~ <br />~~~ ~~~ <br />Division at i <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pei <br />submit the annual fee, a report and map showing the extent of current disuubance~ <br />reclamation accomplished to date and during the preceding year, new disturbance <br />to occur during the upcoming year, reclamation that will be performed during the j <br />dates for the beginning of active operations, and the date active operations ceased <br />Please attach your revised annual report map and written report to this <br />note rhnt m1 adequately labeled nrnp drat clear!}'delineates and includes the <br />sr ffice for a written report. <br />Please type or print the current contact person's name, mailing address, and <br />provided: <br />Contact Name: angata Rrllantnni ! <br />e.o. aox 1720 Phone N1 <br />Canon City, Colorado 81215 FAX No. <br />e-mail: a <br />719 ~275~1280 <br />719 ~ 2758897 <br />If there are additional comments and/or information that should be provided to <br />provide it on a separate sheet and attach it to this report form along with your r <br />report. <br />~ 3/ <br />Si, azure of Corporate Officer, or Owner Date <br />IR'STRUCTIONS ON BACK <br />~~~g - <br />sss <br />EIVED <br />~ 7 2000 <br />inerals and Geology <br />mit, an operator shall <br />,to affected land, <br />that are anticipated <br />:oming year, the <br />For the year, if any. <br />d report. Piease <br />elements Wray <br />number in the space <br />i-Mix, Inc. <br />ision, please <br />'or written <br />I.1:~PER\1 rfNl ASTER DOCUSI EMSNI-AF-01 <br />