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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Blue Jet Mining Inc <br />PERMIT NO.: M-78-135-HR <br />OPERATION NAME: Blue Jet Mine <br />ANNIVERSARY DATE: September 09, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />iiiiiuuiinmiu <br />r~~~~ <br />RECEIVED <br />JUI l y 1999 <br />uiwsion of Minerab & Geology <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 yeaz, new <br />disturbances that are anticipated to occur during the upcoming year, 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 yeaz, if any. <br />Please attach your revised annual resort maa and written resort to this <br />annual report. Ptease note t1:at an odegrlately labeled map that clearly delineates and <br />includes the above elements may since 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: O ti v i n Z/ nn M c° R N A n/ <br />Address: ,Q ~ k l S l <br />CRatC CD- 8~b.?G <br />Company: p L U E T L" T Nt ~ tv r N 6 t +~/ C <br />Phone No.: ( 9 ~~) 8'1 4' 6 y6 7 <br /> <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature o orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />