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~ III IIIIIIIIIIIII III <br />a~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Morgan Sand and Gravel <br />PERMIT NO.: M1977094 <br />OPERATION NAME: Westhoff Pit <br />ANNIVERSARY DATE: December 20, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Morgan <br />~~ <br />~EG~`v~~ <br />~R 0 6 2p09 <br />~&~eo~9Y <br />v`s\~onolMtne O , <br />~~ <br />200 <br />:eon <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the 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 [o 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 <br />year, if any. <br />Please attach vour revised annual resort map and written resort to this annual report. Please <br />note that an adequately labeled nu~p that clearly delineates and includes the above elements nmy <br />suffice for a x•ritten 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: <br />Address: 0 ~}~{~ <br />ComPanY~ //~dh~l~-~~l <br />Phone No.: (~0) ~67 ' ~D ~`f <br />Fax No.: (~~/) FJ~ ~ - ~ 7~ <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 />(`~ <br />acute Corporate ~ cer, or Owner Date <br />INSTRUCTIONS ON BACK <br />