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I <br />l~ <br />"\ ' <br />• III IIIIIIIII IIII III • <br />'` AI\1..,r.., 999_ ~___ <br />v~~ 111 <br />PERMITTEE N7~.ME: Parkerson Construction Co. <br />PERMIT NO.: 11~i-198ti-160 DECEIVED <br />OPERATION N¢1ME: Sunny Side Gravel Pt <br />ANNIVERSARY DATE: February 17, 2000 FEB ~ 4 2000 <br />,ivlslon olMinerab 8 Geo <br />ANNUAL FEE UE ON ANNIVERSARY DATE: $225.00 ~9Y <br />COUNTY: Me a <br />AccorcLng to C. S. 34-32-! 16(3)(a), each yea;, on the anniversary date of the permit, an operator shall <br />submit the annu fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation acco plished to date and during the preceding year, new disturbances that are anticipated <br />to occur during t e upcoming year, reclamation that will be performed during the coming year, the <br />dates for the begi Wing of active operations, and the date active operations ceased for the year, if any. <br />Please attach o r revised annual re ort ma and written re ort to this annual re ort. Please <br />note thnt an nde uately labeled mnp drat clenrly delineates and includes the above elements mny <br />suffice for u writ n report. <br />Please type or priht the current contact person's name, mailing address, and phone number in the space <br />provided: I <br />Contact Name: cer on <br />Address: 710 S. 15th Street <br />Company: Parkerson Construction, Inc. <br />Phone No.: ( 970 ) 242-8134 <br />FAX No.: ( 970 ) 242-8977 <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a se ara[e sheet and attach it to this report form along with your map and/or written <br />report. <br />Z~/ D ~D c~ <br />ignature of Corporate Officer, or Owner Date ~ <br />INSTRUCTIONS ON BACK <br />M:~PER MITUA ASTER DOCU ~.1 ENTSNI-AF01 <br />