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ii i i iiiii i iuiii iii <br />-. <br />ANNUAL REPORT <br />PERMITTEE NAME: F and K Holsinger <br />PERMIT NO.: M-1980-052 <br />OPERATION NAME: Holsinger Gravel Pit <br />ANNNERSARY DATE: Apri123, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Jackson <br />REG~\v~O <br />O X000 <br />FE81 ~~°~ <br />scab <br />~`"~S~ootM r~ <br />~~ L.., ~.] t.iJ <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 yeaz, new disturbances that are anticipated <br />to occur during the upcoming yeaz, reclamation [hat will be performed during the coming year, the <br />dates for the beginning of active operations, and [he date active operations ceased for the year, if any. <br />Please attach Vour revised annual report map and written report to this annual report. P(euse <br />note that an 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: © S e /' <br />Address: ~, D ~ ~7 <br />c~R[~ ~~ , ~~~e <br />Company: <br />FAX No.: (9rID ) ~0.3'~ '7~77~ <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />` ~ <br />02 ~J" <br />Si ature of orporate Offic r, r Owner Date <br />INSTRUCTIONS ON BACK <br />M IPERMITNIASTERDOCUMEKI'SN1-AF~01 <br />