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~~ • • iiiiiiiiiiiiiiuiii <br />ANNUAL REPORT <br />PERIv~fI'TEE NAME: A.J• Botti Construction & Gravel <br />PERMIT NO.: M-1997-027 <br />OPERATION NAME: Moonscape Pit <br />ANNNERSARY DATE: January 30, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Delta <br />RECEIVED <br />JAN 2 q 2000 <br />Division of Minerals & Geology <br />~ "' <br />Aceordittg_toSR,S _~4-32-1 l6(3)(a), each year, on the anniversary date of the permit, an operator shall <br />subnut the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the 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 Wrap that clearly delineates and includes the nbave elements Wray <br />sn~ce for a written report. <br />Please type or print the current contact person's Warne, mailing address, and phone number in the space <br />provided: <br />Contact Name: J1 v / Company:T{`r`,~1JO~~ r (ipiGlll//U~" <br />_~ n <br />Address: ~ .•~Jf,U/G /C Phone No.: (%7(~) ~~~~~y~ <br />_-~~~LJ (nx ~/ % ~b FAX No.: ( ) <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 />Si nature Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:NERA1rM1ASTERD000AfENTSU1-AF OI <br />