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_ ~,#o~asaa <br />• III IIIIIIIIIIIIIIII • <br />~ ~~~ - <br />ANNUAL REPORT <br />PER,MITTEE NAME: Delta County <br />PERMIT NO.: M-1978-168 <br />OPFiRATION NAME: Pig Mesa Pit (; ;1 }~~ , , <br />ANIVNERSARY DATE: October 26, 2000 ~ tun of ;:;iDe~als and Geolo9" <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COIJNTY: Delta <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 a:fected land, reclamation accomplished to date and during the preceding year, new <br />disturbances [hat are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />acti•+e operations ceased for the year, if any. <br />Ple:ESe attach vour revised annual resort map and written resort to this annual report. <br />Please note that nn adequately labeled map that clearly delineates and includes the above <br />elements may sn~ce for a written report. <br />Ple~.se type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: .~ oLwv ! t~~r~,(o r-e~ct Company: U ~LT{~ ~O UN (~( <br />Adcress:SU 1 ~q~tM¢V' S}, , ~` ZZ~ Phone No.: (970 1 ~~~il~OO <br />~ELT~ . CO d'/f`/~ FAX No.: (I7O) d'~f~ .?//`l~ <br />~~ <br />e-mail: <br />If Here are additional comments and/or information that should be provided to the Division, <br />plez,se provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~ rrl ~ I o t ~. ov <br />Si~gf.tature of Corporate Officer, or Ow r Date <br />INSTRUCTIONS ON BACK <br />M WERM nVr7ASTERD000MENTSNA-AF-09 <br />