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-r , . <br />~ III IIIIIIIIIIIIIIII • <br />ANNUAL REPORT <br />PERMI'I'TEE NAME: City of Lamar <br />PERMIT' NO.: M-1987-078 <br />OPERA'f ION NAME: Lamar Park Grav Pit <br />ANNIVERSARY DATE: June 24, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Prowers <br />1'~11i1 <br />RECEIVE <br />JUN Z a 2000 <br />Division ofMinerals & Geology <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 year, 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 the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note tluu mr adequately labeled nrnp that clearly delineates and inc/odes the above <br />elements may sn~ce for a written report. <br />Please ty~~e or print the current contact person's name, mailing address, and phone number in the <br />space previded: <br />Con[ac[ Pdame: ''-Nr. Patrick Mason <br />Company: City of Lamar <br />Address: 102 E. Parmenter St. <br />Lamar, CO. 81052 <br />Phone No.: ( 71 9 ) 336-4495 <br />FAX No.: ( 71 9 ) 336-4404 <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 />Signature of Corporate Officer, or Owner <br />(~-7- ~~ <br />Date <br />INSTRUCT/ONS ON BACK <br />M.~PE R M r14M ASTLI t DOCUAI ENTSN7-AF-P1 <br />