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<br /> <br />~' f III IIIIIIIIIIIIIIII <br />`~ikGEIVEQ <br />PERMITTEE NAME: Harold Brandstadt 2000 <br />PERMIT NO.: M-1986-004 JAN 2 0 <br />~~ivisron of Minerals & Geolo9Y <br />OPERATION NAME: Brandstadt Rock Pit <br />ANNNERSARY DATE: January 24, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 ~~~ <br />COUNTY: Delta <br />According to C.R.S. 34=32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming yeaz, the <br />dates for the beginning of active operations, and the date active operations ceased for [he yeaz, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn adequntely labeled ntnp thnt clearly delineates and includes t{re above elements Wray <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: HaYO~c+ QYt7Y1dS~~~ Company: <br />Address: ~D_~D ~ Ra A d Phone No.: (9 7 D) ~ 7</ - N/ S9 <br />[7>r~~G ~ Go% ~ p/N/~ FAX No.: ( ) <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 Officer, or Owner D e <br />INSTRUCTIONS ON BACK <br />M: WERMfI4MA5TERDOCUMENTSVA-AF-01 <br />