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,~ • III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Morgan County <br />PERMIT NO.: M-78-162 <br />OPERATION NAME: Harvey Green Pit <br />ANNIVERSARY DATE: June 29, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COl1NTY: Morgan <br />~ (~~ ~ ~7 ~l°I~ <br />C`~~ 1 \2~~~~ <br />c <br />JU1 0~ 1999 <br />Division of Mineraf~ 6 Geology <br />Acc,~rding to C.R.S. 34-32-115(3)(x), each year; cr. the anniversary date of the perrnit~an <br />operator shall subnut the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished [o date and during [he preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the tooting year, the dates for the beginning of active operations, and the date <br />acti~~e operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note thnl an adequately labeled rnnp that clearly delineates and <br />inchrdes the above elements may 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: Joe B. Baltazar Company: Morgan County <br />17303 Countv Rd. S <br />Phone No <br />970 1 867-9446 <br />Fort Morgan, CO 80701 F:ix N <br />70 1 867-5264 <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 />writen report. <br />~tgr.ature of Corporate Office ', or Owner Date <br />INSTRUCT/ONS ON BACK <br />