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r.~ -_ <br />III Illlllllllllilll <br />ANNUAL REPORT <br />~~C~IVEG <br />PERMITTEE NAME: Pioneer Sand Company, Inc. <br />PERMIT NO.: M-1983-139 APR 2 ~ 2000 <br />OPERATION NAME: Leyden Pit piwsinn!)fMir~prai5&GBOIOg't <br />ANNNERSARY DATE: Apri123, 2000 , <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 ,.~' ~' <br />COUNTY: Jefferson <br />According to C.R.S. 34-32-J 16(3)fa), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during [he upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised annual report map and written resort to this annual report. P/ease <br />note tltnt cut adequately labeled map that clearly delineates and includes the nbove elements may <br />suffice for a 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: ~D ~r <br />Address: ~n. ~Y 7/ <br />k`~9.~~ <br />Company:~i~QP/ . )~///1 ~lrl?~'IAtL-Z/rC. <br />Phone No.: (7/9 ) SGT ~/6~ a <br />FAX No.:~~/ 9 ) .~~g ~ .5 ~/7 <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 />L ? <br />Sig ture , Corporal 9 ficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:V'ERM n V.1 ASTERDOCUAI ENTSUI-AF-01 <br />