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1: %-~~ <br />/"L. iv <br />I'I•:k1111'l l l N.\Ivtl,: North Weld (:ravel RECEIVED <br />I>I.Itatn n(t. ~I-Imao)x SFP "~ ~ X006 <br />(>PF:k,\ 17ON Nr1Mf; VurU, Wcld Gravel Division of Reclamation, <br /> Mininp and Safety <br />:1NNIV1;ktiAkl' I):\ I F. Uctobcr 17. ?OOG <br />ANNI!.gl I lit I11 l : X688.00 (I)ue nn or before you r annicersan date) <br /> <br />Accunling to l'.k.ti. tq_i?.j-I I6 or (~.k.S. X4.32-I 16, rich year. on the anniversary date of the permit, an npcrator <br />,hall suhnut the annual fee, a report :ind map ;hu++utg the extant of current duturbmtces to afficteJ land. <br />rcclarnauon accomplished to dale and dunng the preccdmg year, nc+s disutrbunces that arc anticipated to occur <br />during the upcontiny: vcar. reclantauun that +vill Ix perlitnnrd duraip dtc convnu vcar, the dak•s f~~• !hr I~r:::r.ning <br />of a~u+•c• oprruuons, an.l the date acu+c olx•r:uinns ceased li,r thr pr:u.:I and. <br />1'Ic•tvc •a11•ich your rev iscd written :uuwal rcnurt and annual rcuort mmr to this form. I he :lnnual keport <br />~\ fcc requircnrent ix nut met until uc have received the fullowiny; components: fee, rennrt, and :tnociart•d <br />ma v. If nn nee disuu•b•rncc• or n•clamation hace occurred durirrL the nrecinuv scar and no ne+v ch:+n¢cs to <br />the previous vcar'+ man are necessary then no new nutp h rcnuircd pnnided that the Operator shall state <br />this in the Annual kepnrt. Pfrusr Darr lh~u un ~nlryrrulrh hrlrr!<<! nr,gr 1h,rt rlr,uly J~lrrl,~,rlr•e ~rrul uirluJ, , !!n' <br />uhrnr r(rnn•rtl~ rucn ,ullirr,jura irri!!pn n~por! <br />I)ivi*iun rrc,ad. indicate thr tidlowing perrtrittce contact mtiamauun. Please verify and make any necessary <br />chnngc~,~(,'n~ lusr•d is an npd.+led map 9howin~ np{•ru~imalc•ly 1 ,tyre rnine~l <br />/- t „r ,tut, . <br />I'crmiuec l untacl; Leroy A. 13clhnorc <br />I'ennutce Name: North 1Vrld Gravel <br />Addir>s: I i4f+U 1C('k 100 <br /> <br />Phone numlxr: ('170) 897-22j2 <br />fas Number: _ - <br />II you h:ar addmonal comments and.ror mtin~rrtanon that should fk pnnided a, the Ihyi,unt. pleax pnrvide tt <br />hclo+y or attach 0 lu this litrm along +cith your written report and niap. Annual kcpurt ur. trucuons arc enclosed. <br />tiignauin f ('orpnratc Ulliccr. Owner, or Ihsigncc <br />Scpl einb~r I 1 , ?nor, <br />I):itc - - <br />