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~ III IIIIIIIIIIIII III <br />9~ <br />ANNUAL REPORT <br />RECEIVED <br />PERMITTEE NAME: Caldwell Brothers MAY 3 0 2000 <br />PERMIT NO.: M-1986-016 <br />Division of Minerals 8 Geology <br />OPERATION NAME: Caldwell Brothers 3 <br />ANNNERSARY DATE: June 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 '.~ ~ ~' <br />COUNTY: Otero <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 [o 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 that arr adequately labeled map rkat clearly delineates and includes the above elements may <br />suffke 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: W4 a ne. C~ ~ ewe <br />Address: ~6 3SS ~tw~ 71 <br />~oc)~y- F~rC~, ~~ g~~G~ <br />Company: ~ ~clwe ~ ( [j To th t?r 5 <br />Phone No.: (7/ ~ ) 38y-Sas 6 <br />FAX No.: ( ) >Jar~ <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 />~1~~ ~'s <br />~,. /~~ C~~~- s- ay- ao~~ <br />SS g~~ of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:W ERMfIN1A5TERD000MEM'SV.7-AF-01 <br />