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• III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: North Weld Gravel <br />PERMIT NO.: M-76-018 <br />OPERATION NAME: North Weld Gravel <br />ANNIVERSARY DATE: October 17, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />4.r ,y <br />®~_ <br />~;~~~ ~ u ~`~~~ <br />~;~nerot' ~Geo~ogY <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />eperater shall submit the anneal fee, a report and map showing [he 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, [he dates For the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report man and written report to this <br />aUUUaI report. Please note drat an adequately labeled map tltat clearly de[inentes and <br />includes the above elements may suffice jor a written report. This pit i s worked 1 e s s <br />than 21 (twenty-one) days a year. There is no increase in acres <br />that have beenhhmined, s]o] the map would be the exact same as the <br />~~ease type of punt [he curtYen~'contacf pe~son''s name, mailing address, and phone number in the <br />space provided: <br />Con[ac[Name: LeRoy A. Bellmore <br />Address: 13480 W.C. Rd. 100 <br />Company: North Weld Gravel, RLLP <br />Phone No.: (97n ) 897-2252 <br />Fax No.: (970 ) 897-2228 <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 snap and/or <br />written report. <br />_ ~ <br />/ ~ August 20, 1999 <br />ignature of orporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />