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Y <br /> - � III IIIlillllllll 111 � ��F'''Fo <br /> Dci <br /> 999 7ivs° o/M��Ira <br /> h�jG�ANNUAL REPORT / <br /> Y <br /> PERMITTEE NAME: Snowstorm Sand & Gravel, LLC <br /> PERMIT NO.: M-83-084 " r'nr�CI-IVE[) <br /> . <br /> OPERATION NAME: Snowstorm Placer <br /> OCl in 6 1999 <br /> ANNIVERSARY DATE: July 28, 1999 <br /> OivisionolMinet316llGeobGY <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Park <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current disturhances <br /> to affected land, reclamation accomplished to date and during the preceding year, new <br /> disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br /> performed during the coming year, the dates for the beginning of active operations, and the date <br /> active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this <br /> annual report. Please note that an adequately labeled map that clearly delineates and <br /> includes the above elements may suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the <br /> space provided: <br /> J k f �4ilS Company:Name: S/JO uJJT02&, 5-A1D 4 C7AAv f_ <br /> Address: r O . 1004 3 8$ Phone No.: ( -44 q ) lS G -0 4?/:7- <br /> e FJ /�Ta Co ?04-f0 Fax No.: ( --(9 ) 936,- 08/; - <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 /> S' tune of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br />