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<br />~ III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: San Miguel County <br />PERMIT NO.: M-81-220 <br />OPERATION NAME: Klondike Pit <br />ANNNERSARY DATE: November 20, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: San Miguel <br /> <br />~~e <br />NOV 0 41999 <br />,.,` .o;, ct Mioerah & GeobQY <br />According [o C.R.S. 34-32.5-116(3)(a), each year, on the 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 aze <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. Please <br />note that an adequately labeled ntnp that clearly delineates and includes the above elements rnny <br />suffice for n wrrtten 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: Mike Horner <br />Adddress: PO Box 426 <br />Norwood CO 81423 <br />Company: San Miguel County <br />Phone No.: (970) 327-4835 <br />Fax No.: (970) 327-4090 <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. <br />i~z~ i~~/u/L!/l- <br />Signature of Corporate Officer, or Owner <br />10/14/99 <br />Date <br />INSTRUCTIONS ON BACK <br />