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999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Williams Fork Mining Company <br />PERMIT NO.: M-1984-168 <br />OPERATION NAME: Williams Fork Pit <br />ANNNERSARY DATE: October 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Moffat <br />~~}Of5173 <br />RECEIVED <br />OCT 2 5 2000 <br />Division of Minerals and Geology <br />~~6~ <br />According to C.R.S. 34-32-1 i6(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual resort maa and written resort to this annual resort. Please <br />note thnt an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />COntaCtName: Forrest Luke Company: Williams Fork Mining Company <br />Address: P.o, sox 187 <br />Craig CO 81626 <br />Phone No.: (970 ) 826-6140 <br />FAX No.: ( 970 ~ 826-6136 <br />forrest@trappermine.com <br />If [here are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />ign ure o Corporate Officer, or Owner <br />10/18/00 <br />Date <br />/NSTRUCT/ONS ON BACK <br />h1: WERMI"IVr7ASTERD000MENTSNI-AF-01 <br />