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:, ~ ;.. + iii iiiiuiiiiiuiii <br />ANNUAL REPORT <br />~ ~ECEIVED <br />MAR 0 2 2000 <br />PERMITTEE NAME: Western Mobile, Inc. <br />PERMIT NO.: M-1996-082 <br />OPERATION NAME: Blair Mesa Pit <br />ANNNERSARY DATE: January 28, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Rio Blanco <br />Division of Minerab & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee,-a'report"and -map sfiowing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated <br />[o 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 vour revised annual report map and written report to this annual report. Please <br />note thnt an adequately lnbeled map thnt clenrly delineates and includes the above elements ntny <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 />Contact Name: fir: 1?rck.-eN~'inttr Company: ~><'~ft'R(aF <br />Address: l 590 W. IZfi`'` /~t/6- Phone No.: ('~3) 1o5~'`r33e <br />bC-t.tVC~, Lo f3ozo~Y FAXNo.: (30 ~,) m59-4339 <br />If there aze 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 />a/~/~ <br />Signature of otporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PE R M I"IN1 AST E R DOC U M EM'SV.1 ~ AF-01 <br />