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<br />III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: Cross Mountain Ranch Ltd. <br />PERMIT NO.: M-1979-102 <br />OPERATION NAME: Kagie Gravel Pit <br />ANNNERSARY DATE: June 21, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Routt <br />r,~~a~ <br />RFP~~ <br />JUN i .} ZC: <br />OiviSion of Minerals ~ ueu~,,,, <br />According to C.R.S. 34-32-116(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 nn ndeyuately labeled map drat clearly detrnecrres and includes tfte above elements rnny <br />sn~ce 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 />Con[ac[ Name: ~ ~ t ~G iv <br />Address: I ~~~a <br />i~~~~ ~'v ~l d ~ 5' <br />Company: r~~X `WtJ~~.(~ y~ ~~ <br />FAX No.: (970 ) ~ 76 - ,~ 7/~ <br />If there are additional comments and/or information [hat 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 />~J ~~` <br />Sig at re rporate Officer, or Owner <br />- ~' ~~ <br />Date <br />/NSTRUCTIONS ON BACK <br />M:~PERMTMASTERD000 M ENTSN7-AF-01 <br />