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'. ~~. ~ - <br />?,N III IIIIIIIIIIIII III <br />999 <br />PERMITTEE NAME: Asphalt Paving Company <br />PERVITI' NO.: M-90-098 <br />OPERATION NAME: Perry Pit <br />ANNIVERSARY DATE: September 29, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />'Nr' <br />~~ ~ W <br />`CEIV~p <br />~e <br />,. ,,J <br />..aa~ii ~i ~,.~f.di;;° u Gsol09Y <br />According to C.R.S. 3a-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 rttrren~ disturb: aces <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations. and the date <br />active operations ceased for the yeaz, if any. <br />Please attach vour 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 />Contact Name: JAMES..R, KRATTENMAKER <br />Address: 14809 WEST 44TH AVF.N l . <br />GOLDEN, CO 80403 <br />Company: ASPHALT PAVING CO. <br />Phone No.: ( 303 ) 279-6611 <br />Fax No.: ( 303 ) 279-6216 <br />If there aze additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />/~ 91~~7 SEPTEMBER 29, 1999 <br />Signature Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />