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S <br />r III IIIlllllllllllll <br />ANNUAL REPORT <br />PERMITTEE NAME: Mine Development, Inc. <br />PERMIT NO.: M-1981-165 <br />OPERATION NAME: Neglected Mine <br />ANNIVERSARY DATE: October 2, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: La Plata <br />R~CE~L~~fl <br />OCT ~ ~ ?~~~ <br />Oi vision of Minerals dnd dept o9Y <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 resort mau and written resort to this annual report. <br />Please crate 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 currr:nt contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name:/5~ero/~~.,~ax~r Company: ~n~ 17~ruL~oirJ~ Ins, <br />Address: 3319 ~. yfr~ l9~• PhoneNo.:(4~0• lay7- /LS""~-- <br />ct,+o,nzo ~'.o%ysdo 1;~3~1 FAX NO.: <br />e-mail: <br />If [here are additional comrnents and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report fotm along with your map and/or <br />written report. <br />e /F. y . aL • aooO <br />Signature of Corp Of t~~er, or Owner Date <br />INSTRUCTIONS ON BACK <br /> <br />M:~PERMITM ASTER IKK U M EMSIAI-AF~O?. DOC <br />