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:~ <br />sss <br />ANNUAL RIEPUK 1 <br />PERMTI'TEE NAME: Robert D and Lavelle Corey <br />PERMIT NO.: M-1987-024 <br />OPERATION NAME: Corey Gravel Pit #3 <br />ANNNERSARY DATE: April 17, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Montrose <br />`J <br />APR 19 2000 <br />Division of>Ninerais & Ge01~Y <br />1'~l101 <br />According to C.R.S. 34-32-1 l6(31(al.-each year. nn the anniversary date of-the permit,-an.ope.rator 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 the 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 report to this annual report. Please <br />note thrtt an adequately labeled map that clearly delineates and includes the above elements nary <br />sttff~iee 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: /"r/C~e~ 1 ~ ~ Company: Qel7A ~.f.~~.~/1( ~i~41/A ~v~ <br />Address: /~~ ~.Y ~~~ Phone No.: (97° ) ~Y S~' 9}'~~ <br />~e/~-4 C~ ~1~~ FAX No.: (~l'O l 6'7~"~~.2 ~a <br />If there are additional comments and/or information that should be provided to [he 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 />Signature of Corporate O er, or Owner Date <br />INSTRUCTIONS ON BACK <br />M'.~PERM fRht AST ERDOCUM ENTSV.I-AF-OI <br />