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., <br />ANNUAL REPORT <br /> <br />PERMITTEE NAME: Baca County k~ ®~ ~ ~` <br />PERMIT NO.: M-1981-138 <br />OPERATION NAME: Gravel Pit No 17 <br />ANNNERSARY DATE: July 24, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Baca <br />• <br />~wC'0 MAY 0 5 2000 <br />RECEIVED <br />'JUN 0 2 20D0 <br />IIII IIIIIIIIIIIII III <br />999 <br />1~ivision of Minerals & Geology <br />According to C.R.S. 34-32-1 16(3)(x), each year, on the anniversary date of the perntit, 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 report map and written report to this annual report. <br />Please note tlrut an adequately labeled Wrap that clearly delineates rend includes the above <br />elements ncny 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: Ted Lasley Company: Baca County <br />Address: 741 Main Street Phone No.: (719 ) 523-6532 <br />Springfield, CO 81073 FAX No.:( 719 1 523-6584 <br />e-mail: <br />If there are additional comments andlor 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 andlor <br />written report. <br />~~ 5 - oZG -aao~ <br />Signature of Corpora Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M. W ERM I-MIASTER DOCUM ENTSN7-A F~61 <br />