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iiiiiiiiiiiiiiuiu <br />ANNUAL REPORT <br />PERMITTEE NAME: Blue Mountain Stone <br />PERMIT NO.: M-1981-108 <br />OPERATION NAME: Pablo Vasquez Stone <br />ANNIVERSARY DATE: August 29, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUNTY: Latimer <br /> <br />RECEIVED <br />AUG 2 9 2000 <br />Division of Minerals and 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_ mawshowing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the dates <br />for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report man and written report to this annual renort. Please <br />note that an adequately labeled map that clearly delii:eates oral includes the above elements may <br />sr~Jfice 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: 1 <br />ContactNaLme: ~~C.I~CiS4t~~-- Company: .~~Uf ~'t"L~S~hC <br />Address: 7 ~ 6 ~ U ~ Phone No.: {3J3 ) p~~ 3 _ ~r; ~ !)~ <br />~o vi C yrtoh ~' ~o ~ o ~lOSC~~ FAX No.: (3J3 ) 6 0~ Z _ ~. }S~?l <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />g -2q-~~ <br />Officer, or Owner <br />Date <br />INSTRUCTIONS ON BACK <br />