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/ 1~~ ~ • III III'lllll'111111 <br />999 <br />ANNUAL REPORT J~ ~C~~~F® <br />t7/~;S;o~OfMt .ISM 44p <br />PERMITTEE NAME: Saguache County °eials <br />PERMIT NO.: M-1984-044 ~et)lpgY <br />OPERATION NAME: San Isabel Pit !~ y ^' '~- <br />~/ <br />ANNNERSARY DATE: June 11, 2000 t" _• ~~ <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Saguache <br />According to C.R.S. 34-3::-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the corning year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note that nn ndeyuntely Inbeled map dtnt clearly delineates acrd inclrtdes the above <br />elements may ste~ce for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: \ U hl to ~ . t1i ,i r'G EF~+ 6 Company: ~i~~u~l eHG ~a u.v\ b/ <br />Address: ~~ ~~6;r ~ ~~ Phone No.: (7~ 9 1 to Ss Z~~ <br />~~i~tlAcgE Cd ~~/ "%~ ~ FAX No.: ( ~~9 1 /o SS Z Sf3 <br /> <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />D <br />S' na re of Corporate Officer, wn Date <br />INSTRUCTIONS ON BACK <br />M ~PERMfIVr1A$TERDOCUMENTSNI~AF-01 <br />