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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Tezak Stone & Aggr Supply, Inc. <br />PERMIT NO.: M-1981-OSO <br />OPERATION NAME: Tezak No 2 Pit <br />ANNNERSARY DATE: May 27, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />miimiiiimiiii <br />1'~1~1 <br />RECEIVED <br />JUN O1 2000 <br />Division of Minerals 8 Geology <br />According to C.R.S. 34.32-ll6(3)(al, each year, on the anniversary.date oithe_permit, an operator shall_ <br />submit [he annual fee, a report and map showing [he 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 eleme>'rts may <br />suffice for a written report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: /hllfe ~ Z .¢ ~C Company: ~~ ZI¢K ~f.~~ B-Agc~•1e.gn~ S u~~~y <br />1,,,c. <br />Address: LPaoO t~ioc~w-}'In Rp. 37 PhoneNo.:O/9 ) o27-s^/I~(o <br />/CAS ~'~eP,/~ ~io. FAX No.: (~~9 ) a7S- J/ 1/</ <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 />Signature of Corporate Officey, or Owner Date <br />INSTRUCTIONS ON BACK <br />Al IPE RM FM7 ASTER DOC UA1 ENTSNI-AF-01 <br />