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ga111 <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado City Metro Dist <br />PERMTI' NO.: M-79-158 <br />OPERATION NAME: Mountain Shadows Pit <br />ANNIVERSARY DATE: December 20, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Pueblo <br />~r <br />r~ECEtiVED <br />^^ <br />L.`~ .,~ b,,. <br />IIIliliiiilllllllll ~ <br />,~~~ns~on of Minerate &Geo1o9Y <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, att operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Plense <br />note dint an adequately labeled mnp that clearly delineates and includes [he above elements may <br />s[r~ce 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: Tom Dykes Company: Colorado City Metropolitan Dist. <br />Adddress: P 0 Box 19390 Phone No.: (719) 676-3396 <br />Colo. City, CO 81019 Fax No.:(7ig) 676-7172 <br />If there are additional comments 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 />/~~~ G~i r~c~.t,,,1 a ~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />