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~~ • III IIIIIIIIIIIII III i <br />ANNUAL REPORT <br />RECEIVE® <br />PERMITTEE NAME: Central Aggregates, Inc. MAYO 1 2000 <br />PERMIT NO.: M-1981-006 DitdelpnofMm6rals&GBDbg}% <br />OPERATION NAME: West Rifle Pit <br />ANNNERSARY DATE: April 27, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 ,.~' ~' <br />COUNTY: Garfield <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the permit, an operator 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 the 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 map and written report to this annual report. Please <br />mote that nn adequately labeled rnap that clearly delineates and includes the above elements may <br />sauce 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: ~ ~ 1 ~~~ ~ F-~ C- Company: L-C ~'I~ra ~ tie 4~'es Tv'c - <br />Address: ~. ~ , ~"~[, a (v Phone No.: (q ?d ) ~oa 5 ~ 5 g~ <br />~ ~~1 c, ~--C~ ~ I t~5 o FAX No.: r 9 fin) c~ as _ l ~ ~ ~ <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 />~ - as-a~ <br />Signature of Corporate Officer, or Owner Date <br />/NSTRUCT/ONS ON BACK <br />M: APE R M rM1 AST E R DOC U M E NTSN1 ~ A F-01 <br />