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• IIIIIIIIIIIIIIIIIII • <br />ANNUAL REPORT <br />PERMITI-EE NAME: Nielsons, Inc. <br />PERMIT NO.: M-76-(127 <br />OPERATION NAME: Craig Gravel <br />ANNIVERSARY DATE: June 17, 2000 <br />~~ <br />~ ~ aECEtvE <br />e . ~ 2000 <br />,~N ~ <br />~tv+~ of M,netats & Geoto9Y <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $55U.U0 (enclosed) <br />COUNTY: La Plata <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an operator shall submit <br />the annual tee, a report and map showing the extent of cuaent disturbances [o affected Iand, reclamation <br />accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the <br />upcoming year, reclamation that will be performed during [he coming year, the dates for the beginning of active <br />operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this <br />annual reuort. Please note that an adequately labeled map that clearly delineates and <br />includes tAe above elements may suffice jar a written report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the space provided: <br />Contact Name: Douglas L. Conger <br />Address: Post Office Box 1660 <br />Cortez. CO 81321 <br />Company: NIELSONS. [NC. <br />Phone No.: (970) 5fi5-84fi1 X-113 <br />FAX No.: (970) 5fi5-0188 <br />If there aze 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 report. <br />NBiLSO SIC. <br />Signature of rporate OfScer, r Owner <br />Douglas L. Conger, Geologist <br />Attorney-in-fact <br />EFFECTIVE: <br />i June 2000 <br />Date <br />/NSTRUCTIONS ON BACK <br />