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<br />~ III IIIIIIIIilllllll <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Northern, Inc. <br />PERMIT NO.: M-77-081 <br />OPERATION NAME: Greeley West Pit <br />ANNNERSARY DATE: September 12, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />~ .. ,~ <br />r <br />RECEIVED <br />0". inn <br />~~9 <br />Di'r~,,.~n of Mioerais 8 Geology <br />,r , <br />`~.. <br />`~' <br />f~ <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an f <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written resort to this <br />annual report. Please note that at ndequntely labeled map that clearly delineates and <br />inchides the above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Gr; c ~ec.l;av.~:~2 <br />Address: I S9[~ w t3.t~ ~[~/~ <br />~~~t! Cn ~0~7 <br />Company: (r1~>Jtn~1'~ob,lt fJcrK~~„Zrc. <br />Phone No.: (~ °~ ) 6f} -~I'33O <br /> <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />.~ to/a~/99 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />