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<br />ANNUAL REPORT <br />PERMITTEE NAME: Hardrock Sand and Gravel <br />PERMIT NO.: M-77-443 <br />OPERATION NAME: Moon Pit No 2 <br />ANNIVERSARY DATE: November 08, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />• c K ~ s 53.3 ~~~ ~~~~~~~~~~~~~ ~~~ <br />RECEIVED <br />SEP 2 y 2000 <br />Division o} Miner.rls and Geology <br />According to C.R.S. 34-32.5-I 16(3)(x), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished [o date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation [hat will be performed during; the coming <br />year, the dates for the beginning of active operations, and the date active operations ceas~:d for the year <br />if any. <br />Please attach your revised annual report maa and written resort to this annual resort. Please <br />note that nrr adequately labeled map that clearly delineates and includes the above elem~znts may <br />suffice jor a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he space <br />provided: <br />ContactName:~~~, ~,{/e{~t?2 Company: ,l~l~~~rr~~~.fiel.~' /t ~i~ <br />hr <br />Adddress: /~ O ~GX /~~ Phone No.: (Gx) sac/-4GS:3 <br />/klr; Lf O ~f/6~.~ Fax No.: ( ) .Si9.~i~ <br />~\ <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. rya ~/wi~a DIt ~t°G~l4Mr4f/evv ~h/S 7-/~r~ n~CI2l0~ <br />SigSig atu~ orate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />