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°~ 1.l <br />~ III IIIIIIIIIIIII III ~ <br />ANNUAL REPORT ~ ~ J I~E~EIVED <br />PERMITTEE NAME: Rocky Mountain Materials & Asp , In`c. <br />JUN 2 2 2000 <br />PERMIT NO.: M-1992-016 Division of PAin6l~IS 8 Geology <br />OPERATION NAME: Penrose Ranch's <br />ANNNERSARY DATE: June 24, 2000 ~I41' . <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $SSO.O~r may'"' <br />COUNTY: Fremont <br />~~~~~~ <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual tee, a report and map sbowing the exienCof current disturbances to affected iand- - - <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 your revised annual report maa and written report to this annual report. Please <br />note that an udeyuntely labeled mup that clearly delineates and includes dre above elements nta}' <br />suffice for u 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: ~~i'') Simi 7 ~i <br />Address: I7 /D ~a n d~ ~tJe. <br />C©~o. S,o~ ~o%~. <br />go9o,~ <br />/~ / ~ <br />Company: l(OG~v oun ~ it ~a T~~~q ~S <br />Phone No.: (7/4) y7 ~- ~/DD <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 Corporal ffic r, or Owner Date <br />INSTRUCTIONS ON BACK <br />M dPERA1 rM1ASTERD000MENT5NI-AF-01 <br />