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~ u~ ~ii~ii~fuiu iu • <br />999 <br />ANNUAL REPORT <br />1'AIGI <br />PERMITTEE NAME: Moffat County RECEIVED <br />PERMIT NO.: M-1978-085 APR 13 2000 <br />OPERATION NAME: Smith Pit No 20 Divisi0n01Miner~l6&Geobgy <br />ANNIVERSARY DATE: May 25, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Moffat <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year. new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will 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 />Please attach your revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map char clearly delineates and incliedes the above <br />elements n:ay suffice for a written report. S~+r A-r~C+~ ~-~ M A P <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />t~~o,=~.s Co~,ry I~.~An ~~P~ <br />Contact Name: lY,Gr,I.~ t S tZ ~ ~o ~~ S Company: <br />Address: lam- ~ O • 13 0 ~,C lP L ~ Phone No.: (97 O) ru' 2. ~ - 3 Z_ t I <br />e.2l~tCof C.U ~ I (o2L FAX No.: t ) <br />If there are additional comments and/or information that should be provided to the Division, <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 />Signature of <br />or Owner <br />3 ~,~ ~mo~ <br />Date <br />INSTRUCTIONS ON &ACK <br />A7: W ERhf ITV.1ASTERD000M ENTSV.rAF-Of <br />