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Oc5si4-99 11:56 From-NIELSONS • 9705650199 • T-854 P 02/04 F-549 <br />( WN,ewwpcrCOM1eri~J„3~nnRep~9f <br />PERMITTEE NAME: Nielsons, Inc. <br />PERMIT NO.: M-76-059 (11?) <br />ANNUAL REPORT <br />OPERATION NAME: Conez Sandstone Quarry <br />ANMVERSARY DATE: June 17,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: 5550.00 <br />COUNTY: Montezuma <br />According to C.R.S. 3a-32-116(3)(a), aaeh year, on the aunivcrsary date of the pumir, an operator shall submit <br />the annual fee, a repon and map showing the extent of current drs~turbanres to affected land, reclamation <br />accomplished w dare and dtuiag the precedtag year, aew disturbances that are anGnpa[ed [o occur during the <br />upcoming yeaz, reclamation that will be performed during Vie corning year, the dates for the beginning of active <br />operations, and the date active operations ceased for the yeaz, if any. <br />Please artach your revised annual report map and written retwrt to this <br />annual repot[. P/rrtsc tract char art rtdrquatrly labrlyd map that clearly drlinrarr~ and <br />fnclutlt•~ the above elrneent~ may sufficr far u written report. <br />Ple:ue type or print the curren[ contest person's name, mailing address, and phone number in the apace provided: <br />Contact Name: D~uelas L. Cnn eg r <br />Address: Post Office Box 1680 <br />Conez. CO 81321 <br />Company: NfEL.SONS.INC. <br />Phone No.: (9'701 565-$461 X-113 <br />Fax No.: (970) S6S-01R8 <br />if there are addinonal comments and/or inrbrmarion that should be provided to the Division, please provide n on <br />a sepazate sheet and a[tach i[ to this report form :dong with your rnap and/or wnttea report. <br />NIELSONS, INC. <br />EFFECTIVE: <br />17 June 1199 <br />Signature of Co Ticrr, or Owner Oate <br />C. R. Nofsiager, Vice President --Engineering <br />INSTRUCTIONS ON BACI: <br />Cc: File: Cor[ez SS Quarry (eau][, bullpen) <br /> <br />