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~ ~ Ill Illlllllllllllll <br />~~ <br />~ i ANNUAL REPORT <br />I, <br />PERMTfTEE NAME: ACA Products <br />PERMIT NO.: M-1998-104 RECEIV~p <br />OPERATION NAME: Pine Ridge Pit <br />ANNNERSARY DATE: April 27, 2000 l= EB 2 4 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 0lvision of Minerals & Geology <br />COUNTY: Lake <br />_AccQ[ding_t2C.R.S. 34-32-116(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 mao and written report to this annual report. Please <br />note that an adegautely labeled map that clearly delineates and includes t{te above elements may <br />sake for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: r,~i.r~ee~NJKioli,/ Company: ACAProd.~.~cfs2..c <br />Address: P.6. /887 PhoneNo.:('7~q ) 395-390 <br />~jua_n.. /~sf<,C'0 R!Zll FAX No.: ( ~l9) 395-3~f9~} <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 it to this report form along with your map and/or written <br />report. <br />i <br />~-114 - o0 <br />T' <br />Signature of Corpor r Owner Date <br />INSTRUCTIONS ON BACK <br />M: W ERMI"f N1A5fERD000MEM1ffStM~AF-01 <br />