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• <br />ANNUAL REPORT <br />PERMITTEE NAME: C & J Gravel Products, Inc. <br />PERMIT NO.: M80146 <br />OPERATION NAME: Montoya Pit <br />ANNIVERSARY DATE: May 1, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: La Plata <br />iiiiiiiiiiii~iuiii <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a repott and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for [he beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map shat clearly delineates cmd includes the above elements may <br />suffice jor 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 />I\ r ~ <br />ContactName:~Lj 7i Ile IQ~L Company: Y CI (arAl/N~ /KnLA~~~~~-~,.,~c• <br />Address: ~71c ~ I IJ~,.n~ I ln0 Phone No.: ('I'JD) 3 R5- `~ 11 ~~ <br />t~Qlan_t~; CD ~~ COI FaxNo.:(~~1(~) 385- 5oly <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />