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- ; iii iiiiiiiiiiiu iii <br />ANNUAL REPORT '~~ ~ ~~ <br />PERMITTEE NAME: Phillips Stone Company ~~s '~(/ ~~~~j <br />a ~~~ /% <br />0 <br />PERMIT NO.: M-S1-075 Q <br />7 <br />OPERATION NAME: Nolan Quarry ~i,~~d4~ `9`gy <br />ANNNERSARY DATE: July 30, 1999 CPo <br />~y <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Boulder <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an <br />operator shun submit the animal'fee, a-report aud-~iiay ~iiowing the eaten[ of cai~ent diswrbances - - <br />to affected land, reclamation accomplished [o 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 <br />annual report. Please note thnt nn adequately lnbeled map that clearly delinentes and <br />includes die above elements ntny 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 Nanme:~O11~P/'~ ~ ~/Jrl/!aS <br />Address: /1'~ ~ o2r ~ D(,,g~ <br />~~~ C~v fro S ~/O <br />Company: ~/!, ~~,~ C S7~rte (Y~ <br />r-~ <br />Phone No.: (30~ ) ~.~ ~ ~ 3 ~/'~ <br />Fax <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 />Signatur orporate q~'cer, or Owner Date <br />INSTRUCTIONS ON BACK ~ ~' v <br />