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• iii iiiiininiiiiii <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: High Plains Stone Company ,' <br />PERMIT NO.: M-1990-016 <br />OPERATION NAME: South d0 Quarry <br />ANNNERSARY DATE: July 11, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />i <br />~~ <br />RE <br />CEIVED <br />JUN % h 2000 <br />Division of Minerals & Geology <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 are 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 year, if any. <br />Please attach Your revised annual report maa and written resort to this annual report. Please <br />no(e that mt adequately labeled map that clearly delineates and includes the above elements may <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: ~ C.O{~ l.~) Ct !~ Yl~ Company: }t-t Gih F' {0.~XtS -~l~ ~U <br />Address: ~ O ~?`. ~O-O Phone No.: (3c73) ~9 l -18~a <br />~('a S~"~2 ~~~ CCU ~C~J-{ FAX No.: (30?J ) ~ I ~Jq ~ <br />e-may <br />L` 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 icer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERM rM7ASTERD000M ENTSR7-AF~01 <br />