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i III IIIIIIIIIIIII III • <br />.~ <br />ANNUAL REPORT <br />1~~9iS <br />M <br />~~ <br />PERMITTEE NAME: Richard Fryrear <br />PERMIT NO.: M-9S-071 <br />OPERATION NAME: Fryrear Gravel Pit <br />ANNNERSARY DATE: November 06, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Yuma <br />~ECENE~ <br />OED 21 1999 <br />plvison of M`~ata~ &Geo1o9Y <br />_Accordigt; to C.R.S. 34-32.5=116L1La) each_kear, on the anniversary date_of the permit..an ooerator__. _ __ . <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during [he coming <br />year, the dates for [he beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />Hole that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: p1~1.4}~~'+~ ~ ~A~ Company: <br />Adddress: k0 fs5 C.o (~ 13 Phone No.: (976) 77 ~ C¢sSf <br />~{~~-r~,J co c~0 73 ~ Fax No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Date <br />INSTRUCTIONS ON BACK <br />