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<br />ANNUAL REPORT <br />PERMITTEE NAME: Green Bros Inc <br />PERMIT NO.: M-95-030 <br />OPERATION NAME: Green Bros Pit No 2* <br />ANNIVERSARY DATE: July 07, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY llATE: X225.00 <br />COUNTY: Morgan <br /> <br />.t~E,~,'dIp <br />.~iJi. 0 6 1999 <br />~wie~un ct Minerab & Geolo9Y <br />According to C.R.S. 34-32-I 16(3)(u), each year, on the anniversary dare 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 vour revised annual report map and written report to this <br />annual report. Please note that an adeyt4ately labeled nutp that clearly delineates and <br />includes the ahove eleutents 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: JIM F. GREEN <br />Address: P.O. BOX 858 <br />FORT MORGAN, CO 80701 <br />Company: GREEN BROS., INC. <br />Phone No.: (970 1 867-2404 <br />Fax No.: (970 ) 867-2405 <br />If there are additional comments and/or information [hat should he 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 />/ JULY 2, 1999 <br />Ignature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON RACK <br />