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• iii iiiiiiiiniii iii ~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Moffat County <br />PERMfI' NO.: M-93-023 <br />OPERATION NAME: Cross Mountain Pit 1 <br />ANNIVERSARY DATE: July Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Moffat <br />S'sRi31/ <br />Di~i~ono/Mtn a6~1999 <br />e%9Y <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and 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 <br />annual report. Please Wore rhnt un ndequulely labeled mop dtnr clearly rlelineures and <br />includes rl:e above elements may suffice 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: Dennis R. Jones <br />Address: F.O. Eox 667 <br />Craig, CO <br />81626 <br />Com an L7offat County Road Dept. <br />P Y~ <br />Phone No.: (970 X24- 3211 <br />Fax No.: ( ) <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. Stockpile Reduction Cnly - Pao D:ap :;ecessary <br />~T-/9~ 99 <br />Signature of rpora Officer, or Owner Dale <br />llennis R. o s (Road Supervisor) <br />INSTRUCTIONS ON BACK <br />