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' ~ ---- <br />III IIIIIIIIIIIIIIII ~j <br />ANNUAL REPORT ~ I <br />®, <br />REC~IVE® <br />PERMITTEE NAME: Grand County <br />PERMTI' NO.: M-1995-004 ~Y ~ ~ 200 <br />OPERATION NAME: Inspiration Point 6tvisioncf~„,;~erais&G2010gJ1 <br />ANNNERSARY DATE: May 5, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Grand <br />According to C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the permit, an <br />operaror shall submit the annualfee, a reportaud 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 />P(ense note that mr adegteately labeled map that clearly delineates and irrclr~des the above <br />elements mny srr~ce for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: M. C. Branstetter <br />Address: P.O. Box 9 - 467 E. Topaz Ave. <br />Granby, CO 80446 <br />Company: Grand County Road & Bridge Dept. <br />Phone No.: (970 ) 887-2123 <br />FAX No.: (_ 970_) 887-3168 <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 />~1I~~ r <br />tgnature of Corporate Officer, or Owner <br />5-04-00 <br />Date <br />INSTRUCTIONS ON BACK <br />Al ~PERMfTMASTERDOCUf.fENTSNI-AF-Oi <br />