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<br />• <br />ANNUAL REPORT <br />PERMITTEE NAME: Valco Gunnison Concrete Division <br />PERMIT NO.: M-81-014 <br />OPERATION NAME: Rozman Pit <br />ANNIVERSARY DATE: June 29, 1999 <br />~ iinimiiiimiiii <br />1~~~ ~ ~1 <br />RECEIVE® <br />JUN 2 9 1999 <br />~:.on of Minerals & Geology <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Gunnison <br />According [o 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 [he extent of current disturbances <br />to affected land, reclamation accomplished [o 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 [he 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 />annual report. Please note that nor adequately lnbeled map thnt clearly delineates and <br />inchides the above elements mny suffice for u 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~~ S~~p.~ w{Z\ Company: ~~ (~~Sd1,1t Q s,-~ C , - <br />Address: ~ O ~(j'~( n 3~ Phone No.: ~~1 ) tn``~`\ "~ ~G1 S <br />C~y.h..~~~5)~~~\~ 'R~~ Fax No.: (~~~) ~`~~~' ~q S~ <br />If there aze 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 />~ ~ ~o-as -~~~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br /> <br />