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• ~ iii iiiiiiiiiiiii iii <br />- ANNUAL REPORT <br />PERMITTEE NAME: Transit Miz of Pueblo RECEIVED ® ~Q~ <br />PERMIT NO.: M-86-015 <br />OPERATION NAME: Pueblo East Pit NOV 1 ~ 1999 <br />ANNIVERSARY DATE: November 12, 1999 Division of Minerals &Geob9Y <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Pueblo <br />According to C.RS. 34-32.5-116(3)(a), each year, on the anniversary date ofthe permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that c/early delineates arul includes the above elements may suffice for a <br />written report. <br />Please type ofprint the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Mark Klune Company: Transit Mix of Pueblo <br />Address:: PO Box 857 Phone No.: (719 ) 561-8350 <br />Pueblo. CO 81002 Fax No.: (719 ) 566-0231 <br />L; there are additional comments and/or information that should be provided to the Division, please provide it <br />on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~l Gu-R l; .P_c~Q. v p ~S aRa~./ Ct~-~, q 4 5 <br />Signature of Corporate Officer, or Owner ~ h1l- Date <br />INSTRUCTIONS ON BACK <br />