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'! , � • III IIIIIIIIIIIII III' <br /> ANNUAL REPORT <br /> PERMITTEE NAME: Pete Lien and Sons, Inc. ;-AECEIVED <br /> PERMIT NO.: M-77-304 OCT 01 1999 <br /> OPERATION NAME: Rex Quarry - Sec 36 p;vis;on of Minerals GeO* <br /> ANNIVERSARY DATE: September 26, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Larimer <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 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 /> Lecia Craft <br /> Contact Name: Pete Lien & Sons, Inc. <br /> Address: PO Box 767 <br /> Rapid City, SD 57709 <br /> Phone: 605-394-7228 <br /> Fax: 605-394-7246 <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 Corporate Officer, or Owner s Date <br /> 5ZNo2 <br /> INSTRUCTIONS ON BACK <br />