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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Northern Inc <br />PERMIT NO.: M-80-131 <br />OPERATION NAME: Bunn Ranch Pit <br />ANNNERSARY DATE: December 15, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Moffat <br />~. ~,-~~ <br />~~ ~~ /~ ~ <br />RECEIVED <br />MAR 0 2 2000 <br />Division of Minerab 6 Geobgy <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 are <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 your revised annual report map and written report to this annual report. P/ease <br />note that nn ndequntely labeled mnp that c/enrly delinentes and includes the above elements nrny <br />suffice for « 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: t/RtL RECa[.i-r,.tT1 r.lE <br />Adddress: 1~9%' W l2t" kye_ <br />•Det~d~r CO `~~u~F <br />Company: (A-FAtz~F <br />Phone No.: (303) (es~ - 933 <br />Fax No.; ('~.:3) a>~ ~-- 43 ~~'( <br />If there are additional comments and/or information that should be provided to [he 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 />a-~lG/oo <br />~~ <br />-~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />