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• iiiiiiiiniuiiiiii ~ <br />ANNUAL REPORT <br />RECEIVED <br />PERMITTEE NAME: Western Mobile Boulder, Inc. <br />PERMIT NO.: M-1981-302 MAY 312000 <br />OPERATION NAME: Deepe Farm Pit Divis+onotMinerals&Geology <br />ANNNERSARY DATE: June 23, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 '.~' ~' <br />COUNTY: Boulder <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary 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 your revised annual report map and written report to this annual report. Please <br />note tlxu nn adequately lnbeled tnnp that clearly delinentes and includes the n6ove elements may <br />suffice for n 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: ~IZIL R.~~.-TI-.~E Company: ~.U~! <br />Address: 1590 W. ~L~''` kt/6 Phone No.: ( 303) 65~. 4330 <br />~I ~ Q'a ZOq' FAX No.: ( 30 ~) .~PS~- 'E'S39 <br />If [here 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 />A1:WERMnN1A5TERD000MEM'SN1 AF-01 <br />