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i <br />ANNUAL REPORT <br />PERMITTEE NAME: Weld County <br />PERMIT NO.: M-1980-149 <br />OPERATION NAME: Hokestra Pit No 1 <br />ANNNERSARY DATE: March 1, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />• RECEIVED III <br />,., ~ -.~ <br />.,, a ;,~ mmera!s 8 Geology <br />IIIIIIIIIIIII III <br />~'d 111 <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 resort map and written resort to this annual resort. <br />Please note that nn ndequntely lnbeied map 1liut clenrl>> delnreutes « nd includes dre nGove <br />elements mny suffice for n 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: ~.~~~ ~?~5~ Company:t~/ (~~~,t7,1,/, . /erg s <br />Address: p0 j~,t 75 Sr Phone No.: (9 7' ) 4 -yo x assn <br />FAX No.: ( 970) _30y- roy 97 <br />l7Y '~b/W ~ ~O L,31 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide i[ on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />a /a/o v <br />ignatur of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A7' W ER M rM7ASTER DOC U Al ENTSVd-A F-Ol <br />