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• iii iiiiiiiiiiiu iii <br />ANNUAL REPORT <br />:ERMTI'TEE NAME: Stanley J Conner <br />PERMIT NO.: M-87-072 <br />OPERA'T'ION NAME: Lee No 2 Placer <br />ANNNIRSARY DATE: September 26, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Gilpin <br />ca~o <br />RECE~~ED <br />SEN 0 g 1999 <br />G,'nstoo of Minerab g GeoPogy <br />According to C.R.S. 34-32-116(3)(x), 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 affec[<:d land, reclamation accomplished to date and during the preceding yeaz, new <br />disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please :tttach your revised annual resort mau and written resort to this <br />annual report. Please note that nn adequately labeled map drat 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 number in the <br />space provided: <br />Contact Pdame: -ITANI~ti° U C~NNE~ Company:. <br />Address: ~~~~ ~-„ sru CtlselccD~t ST Phone No.: <br />~E~/E t~ ~n pR.nDn ~Z. ~ ~ Fax No.:. <br />If there ate 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 />~~ ~~ - ~ P <br />Signature of Corp rate ficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />