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<br />ANNUAL REPORT ~e~lC~~ <br />0 <br />ti <br />9fPOQ <br />PERMITTEE NAME: Costilla County <br />PERMIT NO.: M-80-233 <br />OPERATION NAME: Costilla RECEIVED <br />ANNIVERSARY DATE: December 11, 1998 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 APR 2 6 1999 <br />Division of Mineray & Ge0lppy <br />COUNTY: Costilla <br />According to C.R.S. 34-32-116(3)(a), each year, on [he 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 <br />year, if any. <br />Please attach your revised annual report map and written report to this annual <br />report. Please note dmt nn ndeguntely labeled map that clearly delnientes and inchules the above <br />elements nruy since for n 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:_ <br />Nathan J. Sanchez <br />Company: Costilla County <br />Address: PO BOX 344 Phone No.: (719) 672-3642 <br />San Luis CO 811:12 <br />Fax No.:~~l ti~~- ~~n6 <br />If there are additional comments and/or information that should be provided to the 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 />Signature of Corporate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />M:bss\pmm\mergeVormsViepon Required ~uer.dx <br />