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.- - <br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-1980-252 <br />OPERATION NAME: Jefferson Flat Pit <br />ANNNERSARY DATE: April 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Park <br />1~ECEI!/ED <br />MAR 2 4 2000 <br />Division of Mirerale & Geology <br />According [o C.R.S. 34-32-116(3)(a), 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 are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, 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 maa and written report to this annual report. <br />Please note that an adequately labeled map that clearly delineates and 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: :~..~-/ L. t..~S,.,~ Company: ~~AL.~w3r„!~ <br />-~-- <br />Address: l~aS /yam Phone No.: ( 7 ry ) £rsc- - y ~ g~- <br />r~,~~L,., _ Co Rotiya FAXNo.: (?~~ ) $3a-YZ7s <br />T_ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach i[ to this report form along with your map and/or <br />written report. <br />~i,%~~%~ ~- O o <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A7: W ERAI ITNIASTERDOCUh1EMSNi-AF-0.1 <br />