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~: = ~ • iii iiiiiiiiiiiu iii <br />999 <br />ANNUAL REPORT <br />PERMTfTEE NAME: Rocky Mountain Materials & Asphalt, Inc. <br />PERMIT NO.: M-92-016 <br />OPERATION NAME: Penrose Ranch's <br />ANNIVERSARY DATE: June 24,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />~~~3191 <br />9ECEIVED <br />JUN 25 1999 <br />Division of ~.i:nerals 8 Geology <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that an adequately labeled map that clenrly delineates and <br />includes the above elements may since for a written report. <br />Please type or print the cutrent contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~ i ~ Com an ~tl(,(c~ ~dvtTM1) ~'1A17F~tt.S <br />P Y~, C 4 <br />Address: Phone No.: (7 ~S/ 1 I ~ ~-3 ~ UU <br />G~S ~d , Cj5 Ut'2 Fax No.: (~~ ( ~ l1 ~ ~~ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Q \2 ~ <br />Signature of Corporate ce or Owner Date <br />INSTRUCTIONS ON BACK <br />