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III IIIII~II~IIIIII~ <br />ANNUAL REPORT <br />JQ~t G9f <br />PERMITTEE NAME: Restway Paving Company o "~ <br />PERMIT NO.: M-92-069 9FpOQ`~ <br />OPERATION NAME: 83rd Joint Venture <br />ANNIVERSARY DATE: January 26, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 RECEIVED <br />COUNTY: Weld MAY 1 ~ 1999 <br />- "- - - - - Division oPMineray 8 Geology <br />According to C.R.S. 34-32-116(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 extent of current disturbances to affected <br />land, reclamation accomplished to 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 <br />year, if any. <br />Please attach your revised annual report map and written report to this annual <br />report. Please pore that nn nrlequute/y lnbe/ed rnnp that clenrl3~ delirtentes and inch~des dre above <br />elements mrn~ suffice for n 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: Carl V. hill Company: Best-clay Paving Co. <br /> <br />Address: 'P. o. Box 3189 Phone No.: (970) 353-1654 <br /> <br />Greeley, CO 80633-3189 Fax No.: (970) 353-5089 <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, r Owner Date <br />/NSTRUCT/ONS ON BACK <br /> <br />M.bss\pmm\mergeVormsVtepun ReyuireJ fever Joc <br /> <br />