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ANNUAL REPORT <br />PERMTTTEE NAME: Westley Potts <br />PERMIT NO.: M-1983-030 <br />OPERATION NAME: Twin Canyon Mine <br />ANNIVERSARY DATE: June 10, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $75.00 <br />COUNTY: Montezuma <br />r~io~ <br />RECEIVE® <br />MAY O 1 2000 <br />Division of Miners & Geohgy <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 the preceding year, new <br />disturbances that are anticipated [o 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 resort map and written report to this annual report. <br />Please note that un ndegrentely labeled map that clearly de[irrentes and includes the above <br />elements may since for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />-~'S <br />° Milli ~r <br />Contact Name: U~ L' S-T.C 2 y dL ,~t./Me5 Company: ~o~CO ''yY//~ne / ~~b <br />Address: N~ /, j (`j ht l Phone No.: ( y7D ~y-,3,~ -j,3,3 <br />~J'l//2'2tGDS L' U ~ fSl3,Zra- FAX <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 />Signature of Corp rate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:~PER~1rM1ASTERD000M ENTS/M-AF-o? DOC <br />