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-. ~. • • iii iiiiiiiiiiiu iii • • <br />ANNUAL REPORT RECEIVED <br />PERMITTEE NAME: Grand Junction Pipe & Supply JUL 1 ~ ~~ <br />PERMIT NO.: M-1979-089 DivisionoiMiner~IsiGe0lopy <br />OPERATION NAME: 23 Road Pit ®® <br />ANNIVERSARY DATE: July 25, 2000 ~ ~~~ <br />ANNUAL FEE DUE ON ANNIVERSARY DATE. $550.00 <br />COUNTY: Mesa <br />According to~.R.~. 34-32_I~'i~a), each year, on the anniversary date of the permit, anyQerator 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 [he coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised annual report maa and written report to this annual report. Please <br />note dint mt adequately labeled map that clearly delirtentes 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 />Contact Name: ~d ~~~ Company: 6laRa Juncfeort P~p~ESopp~j ~ <br />~Q.,pOY t~tS <br />6rar+~ Jnnc'Iiec~, C6 Bk,Oz <br />Phone No.: (S7o ) 245-4tr64 <br />FAX No.: (Qr7o ) 243-4703 <br />e-mai I: <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 />Signature of Corporate Officer, or Owner <br />\\ <br />z z_z0co <br />Date <br />INSTRUCTIONS ON BACK <br />A ASTER DOCUA7 ENTSUI ~ AF-01 <br />