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• iii iiiiiiiiiiiu iii ~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Lien Company <br />PERMIT NO.: M-77.002-HR <br />OPERATION NAME: Munroe Gypsum Quarry <br />ANNIVERSARY DATE: September 16,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Lorimer <br />RECEI~EL~ <br />OCT d 1 1899 <br />1011 OI ~'wrab d lieOF(IgY <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 resort man and written resort to this <br />annual rel)OCt. 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: <br />Address: <br />Lecia Craft <br />Pete Lien & Sons, Inc. <br />PO Box 767 <br />Rapid City, SD 57709 <br />Phone: 605-394-7228 <br />Fax: 605-394-7246 <br />h` [here 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 />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />