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• III IIIIIIIIIIIII Illl • <br />ANNUAL REPORT <br />PERMITTEE NAME: Clarence E Clement <br />PERMIT NO.: M-79-023 <br />OPERATION NAME: Davenport Ranch Pit* <br />ANNIVERSARY DATE: September Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: <br />COUNTY: Gunnison <br />~- -CEIVED <br />DEC 17 ~ggg <br />,. ...drab 8 Ge010gy <br />~. <br />~:.- ~... <br />$225.00 <br />According to C.R.S. 34-32. 116(3)(a), each year, 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 affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual resort maa and written resort to this <br />annual rel)Ort. Please note that an adequately labeled map t{tat clearly delineates and <br />includes tfte above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Caf~t i= 1. r_~a.~T Company: l~~ I~ i ~soa . l_1_e <br />Address:_ ,3 8-IC~ f~ ZS L,v , Phone No.: (9 ~ O) SZ`t - 4~ -I 1 <br />~to,~.,vs; ,c~, ~ ~ . ~ 14 Z8 Fax No.: ( ) ~.. ~ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~~-!~ ~v~ CMG lil~ ~Z- ~, '~~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />