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.,, • <br />~~~ <br />b ~ao~, <br />~~ ~', <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Montezuma County <br />PERMIT NO.: M-1999-077 <br />OPERATION NAME: Ormiston Gravel Pit <br />ANNIVERSARY DATE: October 25, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Dolores <br />~ 13~~ ~ ~~ ~ ~~_ <br />RECE!!!E® <br />SEP t 1 2000 <br />Division of µinerals and 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 yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />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: LI o ~~ t'tio rte,-t-f Company:~'~Jt'I~.E ZGrarci ~'Q'G~,,~ <br />Address: ~~c.~LJ ~ ~ ~~ Phone No.: (970 1 •J(<.S ~6~~ <br />- II <br />~ c~rt'c Z r r~ ~~ .~ ~ ~ FAX No.: (9'70 1 S~S-~~-S 7~ <br />e-mail: ~ L' ~OQd ~ TonrE? ~ AIPr <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 [his report form along with your map and/or <br />written report. <br />- ~~~ /ad <br />'nature of Corporate Officer, or Owner Dale <br />/NSTRUCTIONS ON BACK <br />M:W ERM ff V.tASTERD000ME1dfSV.YAF-6l <br />