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aN~c~al. r•F F~ •,n,l ItN Pcte r uhc21 H~sc. RECEEVFn <br />' APR 142006 <br />I'h:ItM1ll Il LI•. NAb11'.: Maam ('onstruction, Inc. <br /> ot~l.~~r~.,t r~~~,~ <br />I'I(It\III NU.: M11-?0112-I 14 <br />(>I'I•RAI II)N N:\htl(: Fctchcri\'alc I'it <br />••^NNI\'GRSARI' I):\'I'h .\pril J, 200h <br />.gNNI l;\I I I•h I)I'I.: w6RN,l111 (Uuc nn or before your unni~crsary dalcl <br /> <br />Acatrdutg to ('.R.S. ~4-32.5-1 16 or ('.ILS. 3aJ2-I I6, each year, on the anniversary dote ol'the Ixrmtt, an olxrator <br />;hall tiubmit the .uuut,tl Ice. a report and map show mg the extent of current disturbances nt at'Feeted lend. <br />reelmnahun acentnphshed to dale and durin}~ the preceding year. net. rii.hvbattcrv that arc :mnctparrd u, cxeur <br />durutg the upcoming year. rrchun:diun that ~~dl hr perti,rmed dunng the conung vear, the <Lues for the beguuun~ <br />of acute uperanons, and the date ecUve operanons ceased litr the year. it any. <br />1'Icasc ar[nrh your rc~isrd ttrittcu Lrmuul rejturt antl~nnnnl rcltnrt malt to thh 1'nrm I'lrutr rtul,• rhtrr an <br />ulrrlururlr luhrlyd rrru/+ 1h~rr rlrur h rlrlirnvtrc ;nrl nr<1ur(rc rhr ~rhrnr c•Irrrrrrra ntrn' adhr,• /ur rr tcrilkar rcpurr. <br />Ihvnu,n recunis indicutc the fulluwmg pernnttec comuel m(urmaunn. Pka.e tenl'y and nrakr any necessary <br />changes: <br />Pcrnuttcc ('onwcc Ilarold h. Clam <br />I'cnnrt',rc Name I(lam <'unnlruclu+n. Inc. <br />xJ~ar~~ 1225 ti. 7th St. <br />t rr:u,d ,luncuun. t't I ~ I Sll l <br />Phone Numb. r~ 1'/"Ih ?-1?-53 jll <br />Pas Number: 1')'7111 2d5-"I(, <br />II you h:tce addmonal comments andiur mlitnnauon thal should Ix punuled to the I)ivtsnm, please pnrvidc tt <br />below or attach n at this titrm along wdh your ttntten report end map. rlnnwtl kcpurt mstnrcuuns un enclosed. <br />Signau ru pf"('urlxttat~(~( tcey caner, or Ucsigncr <br />///~q, <br />I)utc <br />