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f~ ~' <br />• <br />ANNUAL REPORT <br />PERMITTEE NAME: Baca County <br />PERMIT NO.: M-77-484 <br />OPERATION NAME: Gravel Pit No 7 <br />ANNNERSARY DATE: September 11, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Baca <br />III IIIIIIIII IIII III <br />,, <br />®? CEIVED <br />AUG 0 3 1999 <br />r Minerab 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 yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, 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 ntny 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 />COn[aCt Name: CHARLES WAIT Company: BACA COUNTY <br />Address: 7 1 IN STREET Phone No.: ( 719 ) 523-6532 <br />NGFI~ 0 81073 Fax No.:( 719 ) 523-6584 <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 />7 c~ 9 <br />ignature of Corporate Officer, or Owner Date <br />1 <br />INSTRUCTIONS ON BACK <br />