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<br />~II II~II~~II~~~~ II~ • <br />sss <br />ANNUAL REPORT <br />J <br />PERMITTEE NAME: Hall-Irwin Construction Co. <br />PERMIT NO.: M-1983-090 <br />OPERATION NAME: La Poudre Sand & Gravel <br />ANNNERSARY DATE: January 17, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br />~~~~ <br />FtEGE1VED <br />i-...~ <br />prvison of Mineray & Geo1o9Y <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shat: <br />submit the annual fee, a report tutd map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming yeaz, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual resort map and written report to this annual resort. Please <br />note tlrat an adequately labeled map that clearly delineates and includes the above elements may <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 />Company: C/Gll~ Snit., ~~n <br />Phone No.: (9 yO) -~ z -COQ 7 <br />FAX No.: (Q'70 ) ~SZ -(pZ~/ <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 i[ to this report form along with your map and/or written <br />repon. <br />1 ~ <br />S' nature Corporate fficer, or Owner Da <br />INSTRUCT/ONS ON BACK <br />M 1PERMff V+tASTER ~OCUMEMSUI-AF-01 <br />