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• <br /> ANNUAL REPORT <br /> RECEIVED <br /> PERMITTEE NAME: Baca County JUN 04 1999 <br /> PERMIT NO.: M-85-100 ,n:;t Minerals&Geo"Y <br /> OPERATION NAME: Gravel Pit No 23 <br /> ANNIVERSARY DATE: July 25, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br /> COUNTY: Baca <br /> Accnrding to C.R.S. 3.4-32-116(3)(a)-each year, on the anniversary date of the permit, an <br /> operator shall submit the annual fee, a report and map 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 <br /> annual report. Please note that an adequately labeled map that clearly delineates and <br /> includes 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: TED LASLEY Company: AACA cnTTNTY DTST_ TI <br /> Address: 741 MAIN STREET Phone No.: ( 719 ) 523-6532 <br /> SPRINGFIELD, Co 81073 Fax No.: ( 719 ) 523-65841 <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 /> Signature of orporate Offic , or Owner Date <br /> INSTRUCTIONS ON BACK <br />