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~~ ~ ,,` 4. <br />- • III IIIIIIIIIIIIIIII • c <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont County <br />PERMIT NO.: M-1986-010 <br />OPERATION NAME: Cottonwood Pit <br />ANNNERSARY DATE: January 20, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />RECEIVED <br />~a~ 1 s 2000 <br />^,~,ision of Mineral ~ Geofo9Y <br />According to C.R.S 34-32-116(3)(x), each year, on the anniversary date of the permit,,-an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during [he upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note that nn adequately labeled map that clearly delineates mid includes the above <br />elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~N lea Company: ~v"'~~~--~--Je <br />Address: 1~0$oti, ~i$ PhoneNo.: (~~~) 9~7'`~~g <br />~e. t-opPdc.~~ ~9 $12.t3 FAX No.: (~°~) °.~4'Z'~~"8 <br />If there aze additional comments and/or information that should be provided to [he Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or O ner Date <br />INSTRUCTIONS ON BACK <br />M:WERMnVNASTERD000MENTSUI-AF-03 <br />