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~, <br />• ~I I ~ I~ I II I II ~~~I II~ <br />sss <br />ANNLIAT, RF,PORT <br />PERMITTEE NAME: Wcasclskin Corp. <br /> <br />PERMIT NO.: M-86-148 RECE~VE[b <br />OPERATION NAME: Wcasclskin* OCT 0 6 ~ggg <br />ANNIVERSARY DATE: July 06, 1999 Dihs,unotMineralsg0~~, <br />ANNUAL FirE DUI; ON ANNIVERSARY DATE: $225.00 <br />COUNTY: La Plata <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pert tit, an <br />operator shall submit the annual fee, a report grid map showing the extent of curren disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, n w <br />disturbances that are anticipated to occur during the upcoming year, reclamation th twill 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 />annual report. Please note d:ut an adequately labeled map that clearly delineates and <br />includes the abave elements may suffice jor a written report. <br />N.o eE+-;~L~ ~ , s c~ ;>(1.~0~ '4`~~aa-r- w= xc:-~~r '~ h-s e.to~ <br />Q.-~ A-r:c cNr PA--I.. ~--~ 6 M ~P. . <br />Please type or print the current contact ~erson's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~ - ~- •• i r+-.~.LS ~p --Q <br />Address: C~a.~'i~l S ~w-I S~S~ <br />~1J `/1-C~-C bU ~-~ <br />~t~, <br />Company: I.U~S~~S~..l C~~P <br />Phone No.: (~( `to) ~. Y ~ -~i'~F t 0 <br />Fax No.: ( ) ~j ~~~ <br />If there arc additional comments and/or information that should be provided to the prvision, <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 />~ . ~~~t,•~,,J , <br />Signature of Corporate Officer, or <br />~ lS~' . <br />IZ• e <br />INSTRUCTIONS ON BACK <br />