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iii iiiiiiiiiiiu iii <br />ANNUAL REPORT <br />PERMITTEE NAME: Mountain Park Concrete, Inc. <br />PERMIT NO.: M-1998-034 <br />OPERATION NAME: Parshal Pit <br />ANNNERSARY DATE: March 17, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Grand <br />• <br />~._IVED <br />2000 ,. <br />...,,,.rasa iGeam9Y <br />RECEIVEC <br />FEB 2 5 2000 <br />D'msitm of Minesab & Geolcsy <br />au- <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of [he permit, an operator 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, [he <br />dates for the beginning of active operations, and [he date active operations ceased for the year, if any. <br />Please attach your revised annual report maa and written report to this annual resort. Please <br />note that an adeyttately labeled map that clearly delineates and ir:cludes the above e[ernents uray <br />suffice 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: V pG /~D~/`e~~ <br />Address: ~ ~C <br />Company: / /OU/~/G~i/1 ~~ /~p~G2~ <br />Phone No.: (97O) ~O~r 3y/ / _ <br />FAX No.: ( / /D 1 1~ C J%/ <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 />„2 ,2 y-`~D <br />tgnature of Corpor fficer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />h1:~PERM I"MIASTERDOCUh1ENTSNI-AF-01 <br />