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~ , iii iiiiiiiiiiiu iii <br />~~~ .k1~~5,~3\ ~a a-S~ <br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Hardrock Sand and Gravel <br />PERMIT NO.: M-90-140 <br />OPERATION NAME: Martin Pit 1-A <br />ANNIVERSARY DATE: December 18, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />RECEBO/E® <br />SEP 2 9 20D0 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32.5-116(3)(a), each yeaz, on [he 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 to 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 year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map thnt clearly delineates and includes the above elements may <br />suffice 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: 7'F>1T ~. ~/1/'E-',~/P Company: /T/~/Zc~/CG~ ,sl~i~ /~jtey/s./1NuPL <br />Adddress:~~G ,(~,~ /~ ~ PhoneNo.: (x/70) Slo?U- /,/GS3 <br />(~/Zl9/G C1 G ~f/6o26 Fax No.: ( ) ~S/f,+v~e <br />~G y/iwi,~a ~ttS ,y-/Kie ~1`nrod S~opeiwc. ,tic ~ G_.Y1~sdQiu.4. 'S~ <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 />Sign ure of Corp rate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />