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• III IIIIIIIIIIIII III <br />~- <br />ANNUAL REPORT <br />PERMITTEE NAME: Peck Inc. <br />PERMIT NO.: M-92-049 <br />OPERATION NAME: Peck Pit <br />ANNIVERSARY DATE: July 13, 1999 <br />• <br />DECEIVED <br />JUL ~ 4 1899 <br />,, . ,;, ct tAinetats & GeotogY <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Ouray <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map sh"owing"the extent of current disturbances - <br />to affected land, reclamation accomplished to date and during [he 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 <br />annual report. Please trote drat an adegrrnte{y labeled Wrap that clearly delineates turd <br />ine[ndes 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: ~,,pp~'/CU~IeS /~~ ~h~[C (/Ilz~ Company: / e°~D~ C'. <br />Address: ~ (~. Y'~ ~ ~~ Phone No.: (970 } 3ozS- Y 703 <br />~( sGl.~-u ~~ ~ ~ y 2 '~ Fax No.: ( ) .p <br />R 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 />gnature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />