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• iii iiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />PERMITTEE NAME: CAMAS Colorado, Inc. <br />PERMIT NO.: M-77-436 <br />OPERATION NAME: Tower Pit No 1 <br />ANNNERSARY DATE: August 28, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Adams <br />gF~~~V~Q <br />_ ,.` <br />•,r~r~ ~ G <br />epb5r <br />According to C,R.S. 34-32-1 lb(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 yeaz, new <br />disturbances chat 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 [he yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that mr 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: Richard Ptergens <br />Address: 3605 S. Teller Street <br />Lakewood, CO 80235 <br />Company: CAMAS Colorado, Inc. <br />Phone No.: (303 ) 985-1070 <br />Fax No.: ( 303 ) 716-5299 <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 />~ ~ D~~ zG, i99~ <br />Signature of Corporate fficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />