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~ IIIIIIIIIIIIIIIIII c~ ~~~~~ <br />r ~ REC~E~ ~ ~S <br />~ ANNUAL REPORT :'~;_ ? ~ 2()IIO <br />Division of iJunzs [c a zc: Geology <br />PERMITTEE NAME: Phillips Stone Company NC , <br />PERMIT NO.: M-1981-075 ~r~~VE~ <br />OPERATION NAME: Nolan Quarry ~",ti, .,~~~ <br />., ~ ~v~ <br />ANNNERSARY DATE: July 30, 2000 ~L~ ` ;,otog~ <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 O~~poiMmo~,'~~c <br />COUNTY: Boulder <br />_-_ Ar:.COrdLn~ InS,g.S_34-32-~16(3)(a)~ach year, on the anniyersar}• date_of the perrnit~aa operator sh_ all <br />submit the annual tee, 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 />[o occur during the upcoming year, reclamation [hat will be performed during [he 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 un adequately labeled map thnt clearly delineates and includes the above e(enrents 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 />Company: r~~l. % ~i ~J S .Sfm.2- Ct d , j -1/G <br />Phone No.: (~ 03) ~Z 3"r~ 39.5- <br />FAX No.: ( ) <br />If [here 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 />~ `J ~:i , D°rC~ <br />Signature of Corpora[ ~ficer, Owner Da <br />INSTRUCT/ONS ON BACX <br />A1:WERMITNIASTERD000M ENTSNI-AF-01 <br />~~ <br />