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~ s III IIIIIIIIIIIIIIII <br />;~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Builders Aggregate Company Inc <br />PERMIT NO.: M-81-112 <br />OPERATION NAME: Builders Aggr Pit <br />ANNNERSARY DATE: September Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Morgan <br />,~~., <br />~ECElVEQ <br />AUG 31 1999 <br />Division ci :, •~~ ;an:,a <br />a ~eotogy <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an <br />operator shall subnut 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 year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for [he year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that mr adequately labeled map that clearly delineates and <br />includes t)te above 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: ~/ /IYJ /r/ /~~e~'' <br />AAAddress: ~.~ ~~ ~E'iA//E' ><- <br />Company: /~,///~~~er~ ~~'1-~9~~~e <br />~- <br />Phone No.: (q~~) ~6 7 -~3.~y <br />Fax No.: (9~0) 5"~t,~-O,P3~ <br />0 jo <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 />~ r ~ ` ~~' / <br />~gnature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />