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<br />ANNUAL REPORT <br />PERMITTEE NAME: Wagner Construction, Inc. <br />PERMIT NO.: M-1999-018 <br />OPERATION NAME: Wagner Rock <br />ANNNERSARY DATE: Apri120, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Moffat <br />111 Illllllllllll Ill <br />999 <br />,... <br />~~ <br />:~:. . <br />RECEIVED <br />APR 1 Q 2000 <br />Dlvisbn of Afirterafe & Geology <br />AcEordine~.R.S. 34-32-116f3~O,.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 resort to this annual report. Please <br />note that an adequately labeled reap that clearly delineates and i~rcludes the above elements may <br />sake 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: 3fF~l,t)l~N~tt Company:~~Ob~R (~4j~2~./eu PG• <br />Address: 9/a NOD ~. ~iN~1. 'r0 Phone No.: (97D ) $art- x709 <br />Cr,4f4 . ~• glbz$- FAX No.: ( ) gnrsmrr~ <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 />Si a[ure of Corp ate Office , or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERAt~ItifASTERD000MEMSNI AF-01 <br />