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999 <br /> ANNUAL REPORT <br /> PERMITTEE NAME: El Paso County RECEIVED <br /> PERMIT NO.: M-1980-194 <br /> OPERATION NAME: Hodgen OCT 1 3 2000 <br /> ANNIVERSARY DATE: October 23, 2000 Division of Minerals and Geology <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br /> COUNTY: El Paso <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 report. <br /> Please note 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 current contact person's name, mailing address, and phone number in the <br /> space provided: <br /> Contact Name: Iztc N 0,wk 2 Company: C1 PA:O <br /> Address: 3 (r,0 k). )AArW,e �e 14 Phone No.: (]11 ) 5,;D-l f/e0 <br /> t-o FAX No.:: ( -719/ ) �S.20- G77? <br /> e-mail:,[iP gea,P��i�so, oo,uS <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 /> �, ,17 1, I0 - 1 D - p o <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> WPERMR MASTERDOCUMEN SW1-AF-OJ <br />