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-~ - ~ iii iiiiuiiiiiu iii • <br />• 999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Homer Monks Construction, Inc. <br />PERMIT NO.: M-1998-103 <br />OPERATION NAME: Patty's Pit <br />ANNIVERSARY DATE: April 10, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Elbert <br />r ~~- <br />~u <br />Mq,~ ~c~~VF~ <br />1 ~ 1000 <br />" ~%ai~ <br />G <br />According to C.R.S. 34-32-116(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 aze 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 resort map and written report to this annual report. Please <br />note th«t mi ndequately labeled map that clearly delineates and includes the above elements n~ny <br />since for rt written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Con[ac[Name: Patty L. Monks <br />Po Box 1207 <br />Limon, Co 80828 <br />Company: Homer Monks Construction Inc <br />Phone No.: (719 ) 775-2328 <br />FAX No.: ( 719) 775-8707 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepaza[e sheet and attach it to this report form along with your map and/or written <br />report. <br />~°~ey~~ - Y /1~, 02-22-00 <br />Signature orate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:~PER A711 V.1 ASTERDOCU M ENTSU7-AF-01 <br />