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.- <br />.~ <br />.~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Washington County <br />PERMIT NO.: M-1994-077 <br />OPERATION NAME: Nickel! Gravel Pit <br />ANNNERSARY DATE: August 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Washington <br />~K~la~oti8' ~~ ~--gl <br />RECEIVED <br />AUG 11 2000 <br />Division of Minerals and Geology <br />According to C.R.S. 34-32-1 16(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 [he 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 drat mr adequately lnbe[ed nrap that clearly delnreales and includes the above <br />elements may suffice for a written report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: t~.C.d.~c~~ ~U1G~~ <br />Address:~~ -' 3L <br />~~ ~vla <br />~USD( <br />Company:~SGi~-nom (_[klal.. Dis/YH:~3 <br />Phone No.: (47~) 3~3-?.~l(o <br />FAX No.: f 9 ~) 3r63 -~~3 <br />e-mail: <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 />~p,tly ~, o ~-/~/-c)o <br />S g a~ure~lCorporat Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M. WERMITUTASTERDOCUMEM'SU1-AF~0.4 <br />