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<br />ANNUAL REPORT <br />PERMITTEE NAME: Crowley County ~~~~~VEO <br />PERMIT NO.: M-1982-126 MAK 15 2000 <br />~II ~~~~I~~I~~~~~~I~ <br />sss <br />OPERATION NAME: Crowley Cnty Grav 2 ~ ~uterals&G801(1Qr "~ <br />„ ~.R• . <br />ANNNERSARY DATE: April 28, 2000 <br />ANNUAL FEE DUE ON AiJNNERSARY DATE: $550.00 <br />COUNTY: Crowley <br /> <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 repots 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 l.he year, if any. <br />Please attach your revised :rnnual report map and written resort to this annual report. <br />Please note that an adequately labeled map that clearly delineates and inchtdes the above <br />elemerus stay suffice for n 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: Deana R. Harris Company: Crowley County <br />Address: 603 Main St. , Ste 2 Phone No.: (719 ) 267-4444 ext. 2 <br />Ordway, CO 81063 FAX No.: ( 719 ) 267-'il 14 <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 />~~ 3~ l~ <br />Signature of Corporate Offia:r, or Owner Date <br />INSTRUCTIONS ON BACK <br />A7'~PE R M R V.7 A STE R DOC U M E NTSU7 ~ A F-Pf <br />