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• iiiiiiiiiiiiiiuiii <br />999 <br />ANNUAL REPORT <br />PERMTI'TEE NAME: Colorado Quarries Inc <br />PERMIT NO.: M-87-116 <br />OPERATION NAME: Siskin <br />ANNNERSARY DATE: November 02,1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Custer <br /> <br />Or,~+'>' <br />'~ECElVEQ <br />iVU~ ~4 1999 <br />~v~swr of m~nerale 8 Geology <br />According [o C.R.S. 34-32.5-116(3)(a), each year, on [he anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and [he date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:/ u t ~.~ l4~ <br />Adddress:~ y~ s %S`~~.p <br />~l U~(~r;LJS~r~~~ <br />Company: C D~iF'~ ~(Jl~ ~/E'.l~!-f7 ~- <br />Phone No.: (711) -Z 7 S~ `~v ~/~ <br />Fax No.: ('/~/1.~7~- al ~l' <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. `/ ~.s ~/'/~- <br />~D ~E~ ~<~ n ~~rJ ~ y <br />Qtr ~a ~~o - 9~ <br />Signature of orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />