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<br />ANNUAL REPORT <br />PERMITTEE NAME: Robert V Mayne <br />PERMIT NO.: M-1987-074 <br />OPERATION NAME: Dotsero Quarry <br />ANNIVERSARY DATE: October 9, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Eagle <br />cK~ ~ 3~ ~ ~ ~~->z-~ <br />OCT 5 6 ~~: ] <br />Division of Yiinerats ~I~~ t;eolr~•t <br />According to C.R.S. 34-32=116(3)(a), each yeaz, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual resort map and written report to this annual resort. Please <br />note that an adequately fabeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~ ~« ~ /'~J~t~rdC <br />Address: ~r~,l ~ 7 (` <br />~v ~~ 5u rn ~ ~ /G~ '~ <br />Company: ///.9ef9/~ /~~ G,t- <br />Phone No.: (ri-7!~) -s~ %~ > 733 <br />FAXNo.:(9%y)s,7r/- 573/ <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Cotporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />\ M:~PERMrfUAASTERDOCUMEMSNI-AI'-01 <br />