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~~a~ac ~ ~ ~,~ <br />ANNUAL REPORT RECEIVED <br />PERMITTEE NAME: Blue Jet Mining, Inc. SEP ~ 1 1000 <br />PERMI'T' NO.: M-1978-135-HR Division of Minerals and Gealagy <br />OPERATION NAME: Blue Jet Mine <br />ANNIVERSARY DATE: September 9, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year. new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual resort. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may since for a written reyort. ST A J~us l-~ A S //o % C ~l A ~/ 6 6Q <br />.sA~,~ ns PR,oR y~AR <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Oa v~ 6 z /M M ~=AM A .v <br />Company: QL D ~ ~ t l M t ti~ ti~ ~ r tv c <br />Address: ~ o X I S l <br />PhoneNo.:(`r`~o ) ~~9' 656 ? <br />CRAl6 Cc'l, ~/6,;Z/P FAXNo.:(y~a ) Y~`/- Sfyy <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M11:~PERMfM1ASTER DOCUMENT$/M-AF~Ul DOC <br />