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_ _ <br />ANNUAL REPORT <br />PERMITTEE NAME: Baca County <br />PERMIT NO.: M-77-485 <br />OPERATION NAME: Gravel Pit No 8 <br />ANNIVERSARY DATE: September 11, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Baca <br />VED ®~~ <br />RECEI <br />AU6 0 3 1999 <br />;,;;~~ of Minerah 8 Geolo9Y <br />According to C.R.S. 34-32-I 16(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 [he preceding year, new <br />disturbances [hat are anticipated to occur during the upcoming yeaz, 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 man and written report to this <br />annual resort. Please note that an adequately labeled map that clearly delineates and <br />includes the above elements may suffice for a 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: CHARLES WAIT <br />Address: 741 MAIN STREET <br />SPRINGFIELD, CO 81073 <br />Company: BACA COUNTY <br />Phone No.: ( 719 ) 523-6532 <br />Fax No.: ( 719 ) 523-6584 <br />If there are additional corrunents 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 />written report. <br />Signature of Corporate Officer, or Owner , <br />INSTRUCTIONS ON BACK <br />