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~ III 1111411111111111 ! <br />ANNUAL REPORT <br />PERMITTEE NAME: High Plains Stone Company <br />PERMIT NO.: M90016 DECEIVED <br />OPERATION NAME: South a0 Quarry* ,1pN 18 2000 <br />ANNIVERSARY DATE: July 11, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 ~~v~sionolNitnerab~Geob9Y <br />COUNTY: Fremont <br />According to C.R.S. 34-32-I 1613)(a), each year, on the anniversary date of the permit, an operator <br />shall submit [he annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />Wore rhnt ten udeyuately labeled rnnp rhn! clenrl~~ delineates and includes the above elements rrrm~ <br />srs~jPce for n wrltren 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: (2~j~o ~ `Nag n er <br />Address: ~ (7 V ~ k ~~ <br />Ga!rl'f'G 2~ ~ • a <br />So i v~ <br />Company: f-f'I~ h ~'~~ S ~J+O ~ ~ ' <br />Phone No.: U03) 7Q ~ ~ ~ gg/~ <br />Fax No.: t-"'3) r'7 ~ - ~ "I <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. <br />~~ <br />Signature f C rpor, t Officer, caner <br />Ol-/5-~D <br />Date <br />INSTRUCT/ONS ON BACK <br />