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_ Recefv~,d <br />ANN uAl,iir;r x i' O~ ~ 4 19gg <br />.;;, u N~ <br />CE ~n a~"efat~a <br />PERMITTEE NAME: Parkerson Construction Inc <br />PERMIT NO.: M-90-094 <br />OPERATION NAME: Orchard Grove Ind ' =CE~VE~ <br />ANNIVERSARY DATE: November 09, 1999 ;,~p~ u 8 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 DiN~onotmu~etais&Geot°SiY <br />COUNTY: Mesa <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of [he permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />]and, reclamation accomplished to date and during the preceding year, new disturbances that are <br />a~tticipated to occur during the upcoming yeaz, reclamation that will be performed during the coming <br />y~ar, the dates for the beginning of active operations, and the date active operations ceased for the yeaz, <br />if~ any. <br />se attach your revised annual report map and written report to this annual report. Please <br />that an adequately labeled map that clearly delineates and includes die above elements may <br />'e for u written report. <br />type or print the current contact person's name, mailing address, and phone number in the space <br />tact Name: Alan Parkerson Company: Parkerson Construction, Inc. <br />ress: 710 South 15th Street PhoneNo.: (970) 242-8134 <br />Fax No.: (970) 242-8977 <br />there are additional comments and/or information [hat should be provided to the Division, please <br />ovide i[ on a separate sheet and attach it [o this report form along with your map and/or written <br />port. <br />of Corporate Officer, or Owner <br />l/2-yy <br />Date <br />INSTRUCTIONS ON BACK <br />