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,.- <br />• ~II IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMTfTEE NAME: Shalako International Inc <br />PERMIT NO.: M-81-185 <br />OPERATION NAME: May Day Mine <br />ANNIVERSARY DATE: September O5, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: La Plata <br /> <br />1'alll <br />=. VF I~~i-i-r <br />.~'..i~ i`•J IJ~~ <br />Di~~iSiOn al ~eiinEr2t9 ~ GEOlotp' <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 tee, 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 yeaz, reclamation that will be <br />performed during the coming year, [he 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 <br />aIlnual report. P[ense note that nn adequately labeled map that clearly delineates and <br />incG~des the above elements may since 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: ~J'oh ~ ~ ~ ~~^9 01a" Company: S ~a ~a 1~ ~~ <br />Address: (7 ~ p b X 2 b ~ O Phone No.: (~ 70) QL~T - 3.4¢~ <br />tJtr''Q n~ b C.d ~ 13oZ Fax No.: ( ) <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 />i <br />Sig ture f Corporate Of c r, or Owner~_ Date <br />INSTRUCTIONS ON BACK <br />