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<br />\~ <br />i III IIIIIIIIIIIIIiII <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Daniel M Russell <br />PERMIT NO.: M-95-034 <br />OPERATION NAME: Bachus Pit* <br />ANNNERSARY DATE: July 10, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Alamosa <br /> <br />RECEiVEU <br />'~iUL 1 ~ 1999 <br />. w Mirr±rab 8 Geology <br />`.. <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <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 report to this <br />annual report. Please note that nn adequately labeled map that clearly delineates and <br />includes 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: ~)~`fl ~~ ~~..sns~ l~ Company: <br />Address: ~ O ~ ~ S ~ ~O („ ~i~ Phone No.: (~] l °() ~~S 7 -c3~~ <br />~~ prTrC6,(,, . (''~ ~ \~O\ Fax No.: ( ) <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 />~. ~-S -~! <br />Signature o Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />