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-. ,n .: ~ ~ iii iiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Division of Elighways <br />PERMIT NO.: M-81-043 <br />OPERATION NAME: N Of Douglas Pass <br />ANNNERSARY DATE: February Ol, 1999 <br />ANNUAL FEE DUE ON ANN][VERSARY DATE: $225.00 <br />COUNTY: Rio Blanco <br />~qN <br />U~h'~0~°iy. 1 `~ 19g9 <br />°erd7S~G <br />~~Y <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, [hen a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />® CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Sue WinueQler <br />Address:: 260 Ranney Street <br />Craig, CO 81625 <br />Company: Colo. Dept. of Transnortation <br />Phone No.: ( 970 ) 824-2030 <br />Fax No.: (970 ) 824-7523 <br />Comments:: <br />ti~ <br />Signature of Corporate Ofticer, or Owner <br />Date <br />M:~DNRM LUTASTER DN1-AF~Pf. <br />