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-~. • • <br />ANNUAL REPORT <br />PERMITTEE NAME: Grand Junction Pipe & Supply <br />PERMIT NO.: M-79-089 <br />OPERATION NAME: 23 Road Pit <br />ANNNERSARY DATE: July 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Mesa <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an <br />operator shat' submit the annual fee, a report and map showing [he 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 year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note drat an adequaleh~ labeler! map that clearly delineates and <br />inc/odes the above elements nmy since for a wriden 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: <br />Eel Se f>f/e <br />Company: Gran.JJunctPon 1 preSvpp/y~o. <br />Address: ~'• o ~ 8cx t 845 Phone No.: (~"~~) 243 ..4teea <br />Grand .~unc-/'ecr+, CO 8/SQ2 Fax No.: ( 9Zb) 243-!0703 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~3,~~fi~ 7- /4 -5~j <br />Sign t ea ruru of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />