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<br />• iii iiiiiiiiiiiiiiii <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Forest Lakes Metro District <br />PERMIT NO.: M-1981-158 <br />OPERATION NAME: Forest Lakes Pit #1 <br />ANNNERSARY DATE: January 26, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: La Plata <br /> <br />~~ <br />`J .~~ <br />~kCEIVED <br />JAN 18 2000 <br />'~~~ision of Minereh & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach Your revised amnual report map and written report to this annual report. <br />P/ease note that an adeyuate!y labeled map that clenrly delinentes ant! includes the above <br />elements may suffice for a written report. J~ (,,~/vi71TtW5 GNt~NNCxt~ ~/?SI cS4Brn~ ~~ <br />t~i$ Cue~ENT gyr6mo°a <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: r <br />Contact Name: ~R(.E ~ORTL Company: {oKQST" (~ 6~(~ ~~~)~ <br />Address: tfla (~0~ ~S~O Phone No.: (Q7~ )88t~Z9Zs <br />~ar~~~~ ~ ~//ZZ - 0~0 FAX No.: (9~0 ) ~-0305 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on na separates sheet and attach it to this report form along with your map and/or <br />written report. / 1 <br />Signature of <br />i•/oo <br />or Owner Date <br />INSTRUCTIONS ON BACK <br />M WERAIITN7ASTERD000A7EM'SU7-AF-bt <br />