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<br />ANNUAL REPORT <br />PERMITTEE NAME: Grand Jct Concrete Pipe Co <br />PERMIT NO.: M-80-080 <br />OPERATION NAME: Una Pit* <br />ANNIVERSARY DATE: July 24, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Garfield <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the 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 yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for [he year, if any. <br />Please attach Your revised annual report map and written report to this <br />annual report. P/ease note tha! nn adequately labeled map that clearly delineates and <br />includes the above elements may suffice for a written 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: Ed ~lf~r <br />Company: G^rand c~.m~f:cn Cauctp ~e t •yr (c-. , <br />Address: Po, fox 1t34S <br />Phone No.: ( 570 243-d1oo4 <br />Fax No.: (quo ~ 243-6703 <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 />~.,(~~,- '7-13 -SS <br />Signature o Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />