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III IIIIIIIIIIIII III ~, <br />ANNUAL REPORT <br />PERMITTEE NAME: Robert V Mayne <br />PERMIT NO.: M-87-074 <br />OPERATION NAME: Dotsero Quarry <br />ANNIVERSARY DATE: October 09, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Eagle <br /> <br />~~ ~ <br />REC~VE® <br />OCT 14 1999 <br />v~swn of ~Sine2ls ~ Ge010(}y <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the ~.nniversary date of the permit, an <br />operator shall .submit the annual fee, a report and map stowing 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 [he beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual resort maa and written report to this <br />annual report. Plense more drn! an ndeyuately lnbele./ mop lhnt clenr[y delinenres and <br />includes the above elements may suffice for u written relrort. _ <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: 1~/r,ab~ l~J~1~~ ('ompany: / r/.yy.r/6 j~~c,~ <br />Address: ~~ / 75` Pone No.: (970 ) ~S'?'/ 77.33 <br />~.-~os 4 .+. n="LV ,~' lio 37 Fax No.: (g 20 1 S 2 c/-5~.3~ <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 />10/99 <br />Signature of Corporate Officer, or caner Date <br />INSTRUCTIONS OP! BACK <br />