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-- ~ ~ III IIIIIIIIIIIIIIII • <br />ANNUAL REPORT <br />P~,~~® <br />PER:~IITTEE NAME: Morgan County <br />PERMIT NO.: M-1978-162 <br />OPERATION NAME: Harvey Green Pit RECEIVED <br />ANI`]NERSARY DATE: June 29, 2000 <br />'SUN 2 R 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Morgan Division of Minerals & Geology <br />Acciyi-ding to C.R.S.-34-32=116(3)(x), 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 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 />perfi~rmed 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 annual report. <br />Please note tkat an adequately labeled map that clearly delineutes and includes the nbove <br />elements Holy 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[actName: Joe B. Baltazar Company: Morgan County Highway Department <br />Adc.ress: 17303 County Rd. S Phone No.: (970 ) 867-9446 <br />Fort Morgan, CO 80701 FAX No.: (970 )R67-5264 <br />If tt.ere 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 />~l <br />ig.~ature of Corporate ~ficer, or Owner <br />6-27-2000 <br />Date <br />INSTRUCTIONS ON BACK <br />Al dPERA11'MIASTERDOCUAIEM'SU1~AF-PI <br />