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<br />I~~'~II~~!~~IIII I~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Darryl D. Stout <br />PERMIT NO.: M-1979-103 <br />OPERATION NAME: Amick <br />ANNNERSARY DATE: Apri18, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Rio Blanco <br />RECEIVED <br />APR 13 2000 <br />Division of Minerals 3 Geob~y <br />According to C.R.S. 34-32-116(3)(x). each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report max and written report to this annual report. Please <br />note that nn adeyuate[y labeled map thnt clearly delineates and includes the above elements stay <br />since 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:,(~~~ STo w'PJ Company: <br />Address:,~~ loS6 PhoneNo.:(970 ) i77~ S3?1 <br />lYI ePKeR COED S/6 y / FAX No.: (910) B 78 .S3 7 t <br />If there are additional cotnments 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 />~1 /~i~~J~JG~-- .3/9/.Zoos <br />~i~f Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:~PERM rM~ASTERDOCUMENTSUI-AF-01 <br />