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-. h ~ _ _ <br />', • , •~ III Illllllllllll llll <br />4 ~ 999 <br />ANNUAL Kr.rv...' <br />PERMITTEE NAME: Haycamp Gravel, Inc. <br />PERMIT NO.: M-1990-025 <br />OPERATION NAME: Gardner Pit No 2a <br />ANNNERSARY DATE: May 22, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Montezuma <br />n <br />u <br />PAIOI <br />~ECEIVE® <br />MAY 12 2000 <br />Division of Minerals & Geology <br />According [o C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the permit, an operator shall <br />submit [he wnnual fee. a repott 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. P/ease <br />note tkut nn adequately labeled map tlmt clearly delineates and includes the above elements nary <br />suffice for u 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: William K. Goode Company: Navcamp Gravel, Inc. <br />Address: PO Box 656 Phone No.: ( 970 ~ 565-3388 <br />Cortez, CO. 8].32]. FAX No.: ( 970 ~ 565-8018 <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 [o this report form along with your map and/or written <br />report. ~, <br />05/10/00 <br />Signature of Corpofate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />AI.IPERA1fIVNASTERDIX; Uhl ENTSNI~AF~01 <br />