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<br />ANNUAL REPORT <br />PERMITTEE NAME: DGMC <br />PERMIT NO.: M-86-076 <br />OPERATION N,aME: Incas Mine <br />ANNNERSARY DATE: December 31, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $450.00 <br />COUNTY: La Plata <br /> <br />According to C.R.S. 34-32.5-116(3)(x), each year, on the anniversary date of the permit, an operator <br />shall submit the annual tee, a report and map showing [he extent oY 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 the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Plee:se <br />note thus an udequntely labeled rnup that clearly delineates and includes the above elements mny <br />suffice fa~ n 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: ~~ ~ l '}1 ~ L Company: Q G M C <br /> <br />Adddress: l O l30 K ~i'6 PhoneNo.: (9701 9Y6 3331 <br />IfEsA£2US Co B13a6 FaxNo.:~= <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 />repon. <br />~o--~c~- c.y - /~zk0 is -a ~ • y y <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br /> <br />