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1- <br />•~ • III III'lllll I'll III • <br />ANNUAL REPORT <br />PERMITTEE NAME: Base Products <br />PERMIT NO.: M-94-053 <br />OPERATION NAME: Base Product Gravel Pit 1 <br />ANNNERSARY DATE: September 13,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Montrose <br />~°AIU <br />'R ECl~NG~ <br />S€P O 1 <br />`'ivisitm c :rah 8 ~ <br />According Io C.R.S. 34-32-116(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 yeaz, new <br />disturbances that aze 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 vour revised annual resort maa and written report to this <br />annual report. Please note that an adequately labeled map that cfearly delineates and <br />includes the above elements may suffice jot a written report. <br />Please type or print the cursent'contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Company: 8os~ i'v~ r~u <br />Address: ,~~G/A~a3 ~; Phone No.: (97b ) a ~-.30/v I <br />/rlnv,`~Voct~ ~'~T ng'l~hl Fax No.: ( Y~DI?C/ <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. <br />/~ <br />Signat of Corp e fficer, or net Date <br />INSTRUCTIONS ON BACX <br />