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~II IIIII~IIIII~IIII <br />ANNUAL REPORT 999 <br />~F~Fi <br />PERMTTTEE NAME: Elbert County ~~`~ ~F~ <br />PERMIT NO.: M-83-130 0/y/S~o~or~y~~r `~ 19gy <br />ar~~ <br />OPERATION NAME: West Pit ~~ <br />ANNIVERSARY DATE: September 22, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Elbert <br />According to C.R.S. 34-32-116(3)(a), cacti 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 [he preceding year, new <br />disturbances that aze anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual resort maa and written resort to this <br />anRUal report. Please i:ote that an adequately labeled map that clenrly delineates and <br />includes the above elements may suffice jor a 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: //~~ Company: ~ ~~ ~-CU-.-~, <br />Address: ~ ~v~ Phone No.: ('7/ S) J y~ ~~ ~h <br />~~.Kea CUB X utf3,~ Fax No.: (7/9 ) Jf~/ ~7~.7G <br />If there aze 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 />Signatur8 f Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />