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IIIIIII ODA IIIIIIIII <br /> • ` ANNUAL REPORT 110 <br /> PERMITTEE NAME: Fisher Sand and Gravel Co. HECEIVED <br /> PERMIT NO.: M-1995-009 <br /> OPERATION NAME: Fasse Pit APR 0 3 2000 <br /> ANNIVERSARY DATE: April 5, 2000 Division of WineralB&Geology <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Kit Carson <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br /> submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br /> to occur during the upcoming year, reclamation that will be performed during the coming year, the <br /> dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this annual report. Please <br /> note that an adequately labeled map that clearly delineates and includes the above elements may <br /> suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the space <br /> provided: <br /> Contact Name: RAY LEAHY Company: FISHER SAND & GRAVEL CO. <br /> Address: P..:O. BOX 1120 Phone No.: ( 605 ) 642-5760 <br /> SPEARFISH, SO. DAK. 57783 FAX No.: ( 605 ) 642-8167 <br /> i <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report forth along with your map and/or written <br /> report. <br /> Signature of Cer$ertjie �lpfiscrar Ll_ ___ Date <br /> R,A,3„%,S Aye <br /> INSTRUCTIONS ON BACK <br /> M TER MfIV.1ASTERDOCUMEMSW-AF-01 <br />