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<br />:: <br />i <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Lien Company <br />PERMIT NO.: M-77-301 <br />OPERATION NAME: Roberts Quarry <br />ANNNERSARY DATE: September 22, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Larimer <br />~III~~'I~!~"'III~I <br />•- •- rF IVES <br />OCT ~ 't 1999 <br />pivision of Mineral & Veoio;" <br />According [o C.R.S. 34-32-116(3)(a), each yeaz, 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 are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, :utd the date <br />active operations ceased for the yeaz, if any. <br />Please attach your revised annual resort map and written resort to this <br />annual report. Plense note that nrt adequately labeled map that clearly delineates nrtd <br />includes the above elements may suffice for n 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: <br />Address: <br />Lecia Craft <br />Pete Lien & Sons, Inc. <br />PO Box 767 <br />Rapid Ciry, SD 57709 <br />Phone: 605-394-7228 <br />Fax: 605-394-7246 <br />If [here 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 />~~ l <br />Signature of Corporate Officer, or Owner <br />.-~e.~•OZ V_C. C~ P~LS•OLNT <br />fr~TFx /3 rt- 3ci1~~ <br />Date f <br />INSTRUCT/ONS ON BACK <br />