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-~ <br />`~ ~IIII~II~II~II~~I~~ . <br />ANNUAL REPORT e <br />II ~~~~~~~® ®~ <br />PERMITTEE NAME: Doyle J Russe <br />PERMIT NO.: M-1994-096 APR 17 2000 <br />OPERATION NAME: Russell Gravel Pit p;hs;pnofMinetals&Geology <br />ANNNERSARY DATE: April 14, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Larimer <br />According.to C.R.S. 34-32-1 16(3){x, each~ear,.on the anniv_ersar~ date of the permit, an operator shall <br />submit 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 year, 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 vour revised annual report map and written report to this annual report. Please <br />note that an arleyuately labeled map shat clearly delineates and inchedes the above elements may <br />suffice for 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 />Contact Name: is ~ Q d t/S Q k dd C ~~ <br />~- <br />Address: I ~. 13 D ~ C ~ Q <br />r,J ~ 1 U~ x ,s+. o S o s~f q <br />Company:~l~SSC~/ ~rQY~Cr~ l't~~ <br />Phone No.: (Q 7a) .T~o ~ ` 7~iC/ <br />FAX No.: (97d ) $~o ~ ~ 710~(~ <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 />~~ ~.~"~d <br />ignature of orporate Offi er, or Owner Date <br />/NSTRUCTIONS ON BACK <br />h1' WERM rM1A5TERD000MENT5UI-AF-01 <br />