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-~• • i `~`~#'llllllllllllllllllls~ <br />ANNUAL REPORT <br />RECEIVED <br />PERMITTEE NAME: Baca County AUG 2 1 2000 <br />PERMTf NO.: M-1977-484 <br />Division of Minerals and Geology <br />OPERATION NAME: Gravel Pit No 7 <br />ANNNERSARY DATE: September 11, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Baca <br />According to C.R.S. 34-32-116(3j(aj, each year, 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 the preceding year, new <br />disturbances that are 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 yeaz, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please Wore that an ndegtentely labeled Wrap thnt clenrly delineates and includes the above <br />elements Wray suffice for 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: Charles wait Company: Baca County <br />i~"'. <br />Address: 741 Main Street Phone No.: (719 ) 523-6532 <br />S~rinQfield, CO 81073 FAX No.: ( 719 ) 523-6584 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />~ . <br />~~ ~~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M hPERMnN1ASTERD000MENTSUI-AF~Oi <br />