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~ III IIIIIIIIIIIIIIII ~ <br />ANNUAL REPORT <br />t <br />PERMITTEE NAME: N Colo Water Conservancy Dist J~ EC~~VE(, <br />PERMIT NO.: M-81-085 ~ 21 1999 <br />OPERATION NAME: Riprap Quarry Area* Dl as~onolAl'~rab&Georc, <br />ANNNERSARY DATE: July 21, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 ~~ / <br />COUNTY: Grand Lc9 <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 resort man and written report to this <br />annual resort. Please note that an adequately labeled ntap that clearly delineates and <br />includes the 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: JERRY A WESTBROOK Company: NORTHERN COLORADO WATER <br />CONSERVANCY DISTRICT <br />Address: P 0 BOX 679 Phone No.: ( 970 ) 667-2437 <br />LOVELAND CO 80539 Fax No.:( 970 ) 663-6907 <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 />~.t/LJi/ !' JUNE 17, 1999 <br />~ignat r of .orporate Officer, or caner Date <br />INSTRUCTIONS ON BACK <br />