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• ®• <br />~I , <br />ANNUAL REPORT ®I <br />PERMITTEE NAME: Lincoln County RECEIVED <br />PERMIT NO.: M-1978-078 MAY 23 2000 <br />OPERATION NAME: Pickenpaugh Gravel Pit DIYilfi0lit)fMitIBf81S&Geology <br />ANNNERSARY DATE: May 24, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Lincoln <br />According to C.R.S. 34-32-116(3)(x), 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 the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, 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 report map and written report to this annual report. <br />Please note that art adegruuely labeled map that clearly delineates and includes the above <br />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: Pete Aragon Com an Lincoln County <br />P Y~ <br />Address: P • 0. Box 39 Phone No.: (719 ) 743-2337 <br />Hugo, Colorado 80821 FAX No.:C/19 ) 743-2815 <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 />written report. <br />~i~i=- <br />Signature of Cg orate Officer, or Owner <br />May 19, 2000 <br />Date <br />Land Use Administrator <br />INSTRUCTIONS ON BACK <br />A1:~PERA11TVd ASTER DOC U M ENTSNt ~ AF~Pt <br />