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• ~II IIIIIIIIIIIIIIII <br />999 <br />A IV IV UAL K~YUK7~ <br />PERMITTEE NAME: Patrick L. Cugnini <br />PERMIT NO.: M-86-061 <br />OPERATION NAME: Cugnini Gravel Pit <br />ANNIVERSARY DATE: July 21, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: La Plata <br /> <br />®~ <br />~~~ DECEIVED <br />u l; r 13 1999 <br />~~~ ~. i of Mineray & Geology <br />According to C.R.S. 34-32-I 16(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit [he annual Yee, 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 maa and written report to this <br />annual report. Please note thnt an ndeytentely labeled nuip thn! clearly delinentes and <br />includes the above elements utcry sn~ce for a 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: ~J L. ClOStJE~/ FAR P.L. ~itF,u~NI Company: ~t ~q1S ~ ~~G. <br />Address: 'P.n . '(3OX 3(n1 Phone No.: (9~0 ) S8t-b -9533 <br />t9^I t%IELD , ~.D `a l 122. Fax No.: (970 1 ~ - 032 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it [o this report form along with your map and/or <br />written report. <br />Signature of Corp r to Officer, r Owner Da e <br />INSTRUCTIONS ON BACK <br />