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• <br />ANNUAL REPORT <br />PERMITTEE NAME: CAMAS Colorado, Inc. <br />PERMIT NO.: M-89-029 <br />OPERATION NAME: Distel Farm Resource <br />ANNNERSARY DATE: December 07, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br />• iii iiiiiiiiiiiii iii <br />999 <br />RECEIVE® <br />JAN 18 2000 <br />o~wsion of Minerals & Geobgy <br />According to 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 yeaz, new disturbances that are <br />anticipated to occur during the upcoming yeaz, reclamation that will be performed during the coming <br />yeaz, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written 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: Connie Z1. Davis Company: cnrtns Colorado, Inc. <br />Adddress: P. o. Box 3121 Phone No.: (970) 33 ~ - 1, Sa(o <br />rraAtA~, rn nn~3-z FaxNo.:(970) 3'78-6BS6 <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 />Signature of Corporate <br />or Owner <br />~ - / ~-'~b <br />Date <br />INSTRUCTIONS ON BACK <br /> <br />