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J~ • III IIIIIIIIIIIII III <br />ANNUAL REPORT ~®~ ~ ~~ ~~' <br />PERMITTEE NAME: N Colo Water Conservancy Dist ~ECEIVEf. <br />PERMIT NO.: M-81-086 'JUG 21 1999 <br />f OPERATION NAME: Borrow Area C* Division of Minerals 8 Geo,c. <br />• ANNNERSARY DATE: July 21, 1999 <br />' ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Grand <br />According to C.R.S. 34-32-116(3)(x), each year, un iite anniversary date of the permit, ar. <br />operator shall submit the annual fee, a report and map showing [he 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 [he beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that nn adequately labeled map drat clearly delineates and <br />inclrtdes the above elements nary since for n written report. <br />~~ Please type or print the current contact person's name, mailing address, and phone number in [he <br />space provided: <br />Con[ac[ Name: JERRY A. WESTBROOK Company: NORTHERN COLORADO WATER <br />EONSERVANCY DISTRICT <br />Address: P.0. BOX 679 Phone No.: ( 970 ) 667-2437 <br />LOVELAND CO 80539 Fax No.: ( 970 1 663-6907 <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 />~ignatu~ f Corporate Officer, or caner <br />JUNE 17, 1999 <br />Date <br />INSTRUCTIONS ON BACK <br />