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<br />~ III IIIIIIIIIIIIIIII 1~ ~ Q ~i ~° g,.oo~ <br />~~~ua~ <br />RECEIVED <br />ANNUAL REPORT <br />SEP 14 2000 <br />PERMITTEE NAME: Rio Blanco County Division of Minerals and Geology <br />PERMIT NO.: M-1998-054 <br />OPERATION NAME: East Douglas Creek Gravel Pit <br />ANNNERSARY DATE: October 5, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Rio Blanco <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 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 aze anticipated to occur during the upcoming yeaz, 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 yeaz, if any. <br />Please attach vour revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map that clearly delinentes and includes the above <br />elements may since 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 />~(,.~3-~./y ~°~/a~~~~n ~>LZ,'S°i FAXNo.:(9~r) (~~S> .CZ7~ <br />e-mail: <br />Contact Name: S' fa .~ ~~ V r ~~R s..oa s.r~ q Company: ~f i O ~f ~.C a h e 2_C 0 rr rt/ y <br /> <br />Address: / ~ y 9 7 i F ~ w Y l t{ Phone No.: (~ ~ 0) ~>S - <br />v ~ L l~c~ <br /> ~ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />..~( ~J ~~ a 1n c(~o C a ~r Yt 7 <br />Signature Corporate Officer, or Owner Date <br />7NSTR UCTIONS ON BACK <br />M:U'ERM I"IIMASTERDOC UM EM'SU1-AF-61 <br />