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~ IIII IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: Baca County <br />PERMIT NO.: M-1977-479 <br />OPERATION NAME: Gravel Pit No 2 <br />ANNIVERSARY DATE: September 11, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUNTY: Baca <br />~~b~o3~ia`~a8(.~ <br />`` Cs1~~c>5') <br />~- <br />' ono ~~~~, <br />RECEIVED <br />AUG 2 1 2000 <br />Division of Minerals end Geology <br />According to C.R.S. 34-32-116(3)(a), 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 />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 report map and written resort to this annual report. <br />Please note that mt adequately labeled map that clearly delineates artd Includes the above <br />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: Ra~Miller <br />Address: 741 Main Street <br />Springfield, CO 81073 <br />Company: Baca County <br />Phone No.: (719 ) 523-6532 <br />FAX No.: ( 719 ) 523-6584 <br />e-mai <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 />Signature of Corporate O icer or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PER M rIV.tASTER DOCU M ENTSVd-AF-Oa <br />