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• • III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />r~ ~~ 111 <br />PERMITTEE NAME: Akron Ready Mix <br />PERMIT NO.: M-97-015 -~ECE~VED <br />OPERATION NAME: Elrick Pit <br />NOV 0 9 1999 <br />ANNNERSARY DATE: December 19, 1999 <br />~~ Minerab & Geolo9Y <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Washington <br />According to C.R.S. 34-32.5-1 l6(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the ex tent of current disturbances to affected <br />land, reclamation accomplished [o date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled mnp that clearly delineates and includes the above elements may <br />suffice for n written report. ((~~ (~ I / I 1 f <br />/va 0.ct-t v~~ l~S OCG Iw YeCX CtS Ot ~. ~/Qli11AHK 0.LITVI TyNS Cc YN 7'N¢ S~Q Qr ~2.^ <br />petnnnrE G.~pl,ca~toK• U <br />Please type or print thhe current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~)) ~YYP ~ I Company: Y7KroN ~~ /Vlisc <br />Adddress: n/{~.IIC~ . yS ox _T' Phone No.:~74) 34S-~OOZ <br />f'lkrovi . C(~ gU7a0 Fax No.: (970) ~yf-~o0.~ <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 form along with your map and/or written <br />report. <br />//-5-99 <br />Sign re of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />