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ANNUAL REPORT <br /> PERMITTEE NAME: Western Mobile Boulder, Inc. Y� <br /> PERMIT NO.: M-1974-070 �+i <br /> OPERATION NAME: Nelson Pit lip <br /> ANNIVERSARY DATE: February 7, 2000 RECEIVED <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 MAR 2 2 2009 <br /> COUNTY: Weld <br /> division of Minerals&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 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 an adequately labeled map that clearly delineates and includes die above elements may <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 /> i <br /> Contact Name: F We P_r't Krill 11 iF— Company: ,-trfAP-GG <br /> Address: tl-, ,5.C\, Phone No.: ( r ) L r� i- <br /> Ot-ru�E�y Cc; < i ' (�I FAX No.: ( <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 /> S y <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> M TERWM1ASTERDOCUMENTSW-AF-01 <br />