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<br />~~ <br />~Y~ <br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Webster Sand & Gravel <br />PERMIT NO.: M-1981-235 <br />OPERATION NAME: West Tennessee <br />ANNNERSARY DATE: Apri122, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Lake <br />e• <br />~~~~r~ ~ - <br />~~ ®~ <br />APR 17 2000 <br />Gittision otMinerals & Ge01o§y <br />According to C.R.S. 34_32 =116(3)(a), each yeaz_onlhe.anniyersarydnte of the permit, an_opecator 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 are 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 vour revised annual report maa and written report to this annual report. Please <br />note that cut adequately labeled map that clearly delineates and inchedes the above elements may <br />since for a writte~t report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: <br />~~~~~ T ~ <br />Contact Name: e,5 V 3~P_~SIP <br />Address:~lT SD". ,~~~~~~ <br />Ad yi</ <br />Company: 7,dP,,{ S / P~' lJA2tA: -~i~~/~P~ <br />Phone No.: 719) ~r'o -~'~/~~ <br />[f there are additional comments and/or information that should be provided to [he 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 />of Ct6rporate Officer, or Owner <br />~ - /S - Dd' <br />Da e <br />INSTRUCTIONS ON BACK <br />M:~PERF71TV.1 ASTERDOC U M ENTSV.1-A F~01 <br />