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• ~II ~I~~I~~I~II~~ ~I~ • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Arkins Park Stone Corporation <br />PERMIT NO.: M-94-080 <br />OPERATION NAME: Berthoud Sunset <br />ANNIVERSARY DATE: October 28,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />/ COUNTY: Larimer <br />Pe96l1 <br />RECEIVED <br />~• <br />4. -.7 <br />Division of Minerah & Geology <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 are 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 report map and written report to this <br />;!n;,l!ul t't'Inert. l'lrrr~r nn'r rl.vu ,ru ;:;!r~~~r.r~, i. r .r.,.!,.,r ,,,r„ ,.. ~ ..r~ ,I~.c.. . ,., r <br />inrludc.r tlrr rrburc clcmrrus urur crv/ficr far a uriitr-n r c~pun. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: TU1'lUQ- ~P~Ser^ Company:_Ark.[hS ~0.~ S r1E <br />~^ <br />Address: ~g]~ f~Y.2 ~7 Phone No.: 0970) 663-192 <br />l~ve~0.nd ~ CA $0538 Fax No.: (c970) loh3-2.3LS <br />If there are additional comments and/or information [hat 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 />f/LLLId ~ ~ ICJ Y~+""`~'" " ~~ Zr/ c~9 <br />Signature of Corporate fficer, r Owner Dale <br />INSTRUCTIONS ON BACK <br />