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<br /> <br />1'alll <br />~II II~II~IIIII~~ II~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Washington County <br />PERMIT NO.: M-1986-048 <br />OPERATION NAME: Nicholson Gravel Pit <br />ANNNERSARY DATE: May 22, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Morgan <br />RECEIVED <br />MAR 2 2 2000 <br />Division of Minerab ~ Geology <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 resort map and written resort to this annual resort. <br />Please note that un adequately labeled map r/rar clearly delineates and includes the above <br />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: (~7~/.~.~g~ z r-~•.o Company: <br />Addr//e//ss:~', ~ ~"n /~eY.~ Phone No.:13YS) .,2.~~ 7 ~ <br />EC.(1h.~ ~'s~~rs ~ 72d FAX No.: (,3`f~) ~ ?o <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 />~6 A~l~~i ~ j -.1410 _ \J - / ~' ~~ <br />Signature of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />M WER MITNIASTERDOCUhfENTSUI-AF-61 <br />