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• iii iiiiiiiiiim iii <br />999 <br />.~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Raymond C. Petersen <br />PERMIT NO.: M-1981-236 <br />OPERATION NAME: Colorado River Ranch Gravel Pit <br />ANNNERSARY DATE: March 29, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Grand <br />• ~ f, 0 . <br />~~ <br />RECEIVEn <br />MAR 0 2 2000 <br />Division of Minerals 8 Geology <br />According to C.R.S. 34_32-I l.fi(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, reclatation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an ndequntely Inbeled map that clearly delineates and includes the above elements may <br />suffice for n written reporl. <br />Please type or print the current contact person's name. mailing address, and phone number in the space <br />provided: <br />Contact Name: Raymond C. Petersen Company: Colorado psiver Ranch Gravel Fit <br />Address: P. 0. Box 832 Phone No.: (970 ) 724-9327 <br />Ks emmling, Colorado 80459 FAX No.: ( 970) 72~-9327 <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 />/ ,. ~ 2/28/00 <br />Si ture of Corporat Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M.~PER At ITNI ASTER DOC U M ENTSNI-AF-01 <br />