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<br />ANNUAL REPORT <br />PERMITTEE NAME: Golden's Andesite Mining Company <br />PERMIT NO.: M1977141 <br />OPERATION NAME: Lyons Quarry <br />ANNIVERSARY DATE: December 29, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Boulder <br />~. iiiiiuiiiiiiiiiiii <br />FIECEIVED <br />FEB ~ ~ 2000 <br />pivisw,~ a, ,•~~,~rat~ S Gtpltlgy <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit [he annual fee, a report and map showing the extent of current disturbances [o 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, [he dates for [he beginning of active operations, and [he date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. P/erase <br />note that an ndeyaately labeled ramp shat clearly delineates mid includes d1e above elements may <br />since for a ti~~ritten 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: ~D~NI RCC/'~'~ Company: GOC/Jfiit/~ f~n/O.~t/ f~//tJ/~ <br />Address: 2/ S_ S'Ll~tlS~i7~ Phone No.: (~j~) Ccz'o~ S~j~O <br />GO/t1G ~90nlT /D. Fax No.: (3Di l lolo~~ zL~ <br />~Q_SD/ <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 />~' / Q~C/1~21L~ ~~/O~da <br />Signature of Corporate Officer, or Owner Date ` <br />/NSTRUCTIONS ON BACK <br />