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y <br />L <br />• iii iiiiiiiiiiiu iii • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Daniel M Russell ~, <br />PERMIT NO.: M-1995-034 <br />OPERATION NAME: Bachus Pit <br />ANNNERSARY DATE: July 10, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Alamosa <br />;~ECEIVEL' <br />JUL. 1 U X000 <br />pivision of Minerals & Geoio9Y <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing 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 <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn adequately labeled map that clearly delineates and includes the above elements Wray <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: \JPcr~~~~ M- ~~s~ ~~ Company:~`t~~S \ ~"4' <br />Address:~[1~0~y-a S ~ ~OCo ~ Phone No.: ('l t~ ) SL5°t - ?~ a <br />{-"~~MoSF\. CeO ~ \~0\ FAX No.: ( ) <br />e-mail: <br />[f 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 />S a3-o 0 <br />Signature o ~ Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M ~PERA1fIU1A5TERD000MENT5NI-AF-01 <br />