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iiiiiiii <br /> ANNUAL REPORT <br /> PERMITTEE NAME: Ell Paso County RECEIVED <br /> PERMIT NO.: M-80-194 oul 21 1°99 <br /> OPERATION NAME: 1[odge& F' U 4 Lc- v,s on of Minerals 8 Ge04Y <br /> ANNIVERSARY DATE: October 23, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <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 <br /> annual report. Please nave that an adequately labeled map that clearh: delineates and <br /> includes the above elements may suffice fa-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: Richard E. Carlson, P.E. Company: El Paso County <br /> Address: 3460 N. Marksheffel Road Phone No.: ( 719 ) 520-6860 <br /> Colorado Springs, CO 80922 Fax No.: ( 719 1 520-6878 <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 /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br />