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<br />ANNUAL REPORT <br />PERMITTEE NAME: Lake County <br />PERMIT NO.: M-77-459 - ~y^~ <br />OPERATION NAME: Lake County Grav Pit <br />ANNIVERSARY DATE: July O8, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Lake <br />~iiiiiuiiiiuiiiiii <br />IAA 111 <br />RECEIVED <br />JUL 07 1999 <br />Division of Mineral & Geology <br />According to C.R.S. 34-32-I 16(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 [he 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 nn ndeguntely lnbeled nmp rhnt clearly delinentes unrl <br />includes the above elements nary 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: , J / <br />Contact Name: S~ev~e K ~~~ ~e~ P~_ Company: /~ G ~e CevN~Y <br />Address: PD l3ox 4~5~ Phone No.: (?(y ) '-~~~ ~e7Fi S <br />_ .LPGCI~.~Ie CO ~1~~(a/ FaxNo.: 7! ) '~/~- 'S~//] <br />If there are additional comments and/or information [hat 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 />~ e..~/s <br />S gnature o orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />