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<br />., <br /> <br />ANNUAL REPORT <br />PERNIITTEE NAME: Washington County <br />PERMIT NO.: M-98-065 <br />OPERATION NAME: Hayes Pit <br />ANNIVERSARY DATE: September 18, 1999 <br /> <br />G~o-'191/ <br />`-'ECEIVED <br />AUG 10 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />~.; ,: ,~ ;Ainerais 8 Geology <br />COUNTY: Washington <br />According to C:R.S. 34-32-116(3)(a), each yeaz, ou 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 />p:.rformed 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 />annual report. Please note that an adequately labeled map 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 />Company: Washington County <br />Phone No.: (970 ) 246-3347 <br />Con[actName: Charles ~. Kuntz <br />Address: 501 4th Avenue <br />Fax No.: ( 970 ) 345- a ~Oo~1 <br />Otis. CO 807 <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 />ignature of Corporate Officer, or Owner D e <br />INSTRUCTIONS ON BACK <br />