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M III IIIIIIIIIIIII III <br />999 <br />ANNUAL REPORT <br />.- _` <br />PERMTI'TEE NAME: Mobile Premix Concrete, Inc. <br />PERMIT NO.: M-1983-067 <br />OPERATION NAME: Stagecoach Pit <br />ANNNERSARY DATE: July 3, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Adams <br />• <br />1'al~ll <br />RECEIVED <br />MAY 31 2000 <br />Dihsion of Minerals & Geology <br />According to C.R.S. 34-32-I 16(3)(a), each year, 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 your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled neap tkat clearly delineates and includes the n6ove a/ements 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: Yew ~GW~G~t~n.,P <br />Address: 1590 (~• I~ ~/~ <br />Dt~t,,rrJ-t Co S~o2o4 <br />Company: LR <br />Phone No.: (3 0 3 ) ~C5 ~ -`{"330 <br />FAX No.: (303 ) (oy~-- 4339 <br />e-mail: Fi(rGG~GGt+~-i y12 ~.~~ ~(,S . G~'+'~~ <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 />s/a6/moo <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M ~PERMI"M7ASTI:RD000AIENTSNI-AF-01 <br />