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. ~ 1 ~ • <br />ANNUAL REPORT <br />PERMTTTEE NAME: CAMAS Colorado, Inc. <br />PERMIT NO.: M-94-027 <br />OPERATION NAME: Longmont Operation <br />R~~'~1V~D <br />ANNIVERSARY DATE: December 31, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 SEC ' 11999 <br />COUNTY: Weld ~ ' •'~°°a~ 8 GeWp~ <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that aze <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes the above 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: Connie N. Davis <br />Adddress: P. 0. Box 3121 <br />Greeley, CO 80633 <br />Company: r.nrtns t'nlnraAn, Tnr_ <br />Phone No.: {970) 353-2005 <br />Fax No.: (970) 353-5338 <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 />o°L-,~ l <br />Signature of Corporate Officer r Owner Date <br />INSTRUCTIONS ON BACK <br />