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iii iiiiiiiiiiiiiiii~ ~ • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Division of Highways RECEIVED <br />PERMIT NO.: M-85-170 JAIL 1 9 1999 <br />OPERATION NAME: BLM Burnt Shale Pit ~~~+sionotMinerals&Geotogy <br />ANNIVERSARY DATE: February Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Garfield <br />Please attach to this annual report your revised annual repot map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concernine ntininQ disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instnictions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />®'CONDffIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: lr, ~fe ,~~ ~/~e n/ <br />Address:: GO G 1 R f= <br />Cy 24..r( ~~¢ L G tf/ Sa/ <br />Company: G Do t' <br />Phone No.: (970) g ~ >r - 73 G 6 <br />Fax No.: ( 970 ) „~~ll - 9S3 q <br />0 <br />Comments::_.~/~ <br />~~`.--eG'P -~-..c~ <br />Signature of Corporate Officer, or Owner <br />/T~9 9 <br />Date <br />M ~DNRMLUTASTERDVv1-AF~OI. <br />