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• III IIIIIIIIIIIII III • <br />ANNUAL REPORT <br />PERMITTEE NAME: Lincoln County <br />PERMIT NO.: M-85-109 <br />OPERATION NAME: Arthur L Schmeiser <br />ANNNERSARY DATE: August Oti, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: <br />COUNTY: Lincoln <br />~~O <br />~~ <br />P ~,,~` <br />o~ <br />$225.0~'~~~~ <br />a~~" <br />According to C.R.S. 34-32-I 16(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, pew <br />disturbances that are anticipated to occur during the upcoming year, reclamation t>1at will be <br />performed during the coming year, the dates for the beginning of active operational and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report tp this <br />annual repol't. Please note that an adequately labeled map that clearly delineates and <br />includes the above elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone inumber in the <br />space provided: <br />Contact Name: Pete Aragon Com an Lincoln County <br />P Y~ <br />P.O. Box 39 <br />Hugo, Colorado 80821 <br />Phone No.: (719 ) 743-P337 <br />FaxNo.:(719 )743-,2815 <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 it to this report form along with your map and/or <br />written report. <br />~ July 22, 19¢9 <br />Signature of Cor rate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />