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~ III IIIIIIIIIIIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Marble, L.L.C. <br />PERMIT NO.: M-1987-028 <br />OPERATION NAME: Lily Mines <br />ANNNERSARY DATE: March 18, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Chaffee <br /> <br />RF~F~V~D <br />olv,~,a FFB '~8 ?pp0 <br />~clMt ~~y~ ~~o <br />~Y <br />1'e~~e? <br />According to C:R.S. 34-32-] lb(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 tha/ nn ndequately labeled map that clearly delineates and includes the 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 [he space <br />provided: <br />Contact Name: ~ i Ul. Te ~- ~'~~ <br />~\ ~ 11 <br />Address: a.~ G S _ ~``r7 - ~Y. <br />~ o... ~ ~ "i~, c-O lA <br />., . <br />Company:() ! t 1 f,(,~/b `e Co <br />Phone No.: (7~6) lGU7 '-- 3~ 4 S <br />FAX No.: ( `~U) {p0~ ~ 3Z~l~p <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. n <br />ignature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />Vd ASTERDOCUAI ENTSNI-AF-01 <br />Z ~ -dO <br /> <br />