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,~ <br />• iii iiiiiiiiiiiii iii <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Wyatt Redi-Mix Co <br />PERMIT NO.: M-97-039 <br />OPERATION NAME: Williams/Illinois Gravel Pit <br />ANNIVERSARY DATE: August 12, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Jackson <br /> <br />„i t~ ~F3 <br />1'"' <br />-DECEIVED <br />AUG 10 1999 <br />- .. ,, ct rAinerals & Geolo9Y <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-extentvEcurrent 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 mnp that clenrly delineates and <br />includes dte above elements mny 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: rCil~}aQ ~~L~r! Company: ~~ATl ~S.>i ~ ~'Y <br />Address:f~~, /-~~-~ ~5~ Phone No.: f 9'7p) 7~? ~ - ~/y7/ <br />l~ j (~~ti ~ [nOL. O ~' D ~/SSD Fax No.: (Q'7(~) 7073 -3~107~ <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 />.- <br />~~~/ ~i <br />Signature of Co orate Office , or Owner Date <br />INSTRUCTIONS ON BACK <br />