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A III IIIIIIIIIII K 1. <br />PERMITTEE NAME: Bestway Paving Company <br />PERMIT NO.: M-1992-069 RECEIVED <br />OPERATION NAME: 83rd Joint Venture APR 0 3 2000 <br />ANNNERSARY DATE: January 26, 2000 DivisicnolMinerab&Geology <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br />According,to C.R.S._34_32--1.16(31(a), each_yeaz..on [he-anniversary date of.the.permir_an operatorshull <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 />[o occur during [he upconung year, reclamation that will be performed during [he 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 resort to this annual report. P/ease <br />note thnt mr ndequately /nbe/ed map drat clenrly delineates nnrl includes the nbove elements mny <br />s[tffice for n 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: ~IIh /P ~'C/[/e ~a~~~r Company: Ct/~Iy/As' Co/OPa.dD,.rwc. <br />Address: ~ D• 130X 3 /a/ Phone No. : { 9~0 ~ 336 -6-~aG <br />Gr e e% ~ ( ' Q ~'D(~ ~ FAX No.: ( 970) 3T8•- (oBS~ <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 />~/~ <br />Signature of Corporate Officer, or Owner <br />o'~ • 2 3. 00 <br />Date <br />INSTRUCTIONS ON BACK <br />M PER A1fM1ASTERDpCUAIENTSV•1-AF-01 <br />