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-: =~~~~ IIIIIIIIIII I ~ ~ <br />~~~' <br />ANNUAL REPORT <br />PERMITTEE NAME: Baca County <br />PERMIT NO.: M-1995-019 <br />OPERATION NAME: Mundell Estate No. 32 <br />ANNNERSARY DATE: May 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Baca <br />~CtLC'D MAR 1 d 2000 <br />~ECEIVE® <br />APR 0 4 2000 <br />.._. ~ olldmerab & Ge015~}9 <br />According to~.R:S-34-32-116(3;(a), each-yca:, on the-anniversarydatevf-the~permi,,arr----- <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, [he 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 maa and written report to this annual report. <br />Please mote drat an adequately labeled map that clearly delineates and includes die above <br />elements may suffrce 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: RAY MILLER Company: BACA COUNTY <br />Address: 741 MAIN STREET Phone No.: ( 719 ) 523-6532 <br />SPRINGFIELD, CO 81073 FAX No.: ( 719 ) 523-6584 <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 />Fes- ~ ~~~ .~ ~~?., :~.e~ .3 ~ 3 ~ - ®o <br />Signature of Corporate Officer, or ner Dale <br />INSTRUCTIONS ON BACK <br />Al IPER MfM1ASTERD000M ENTSNt AF~Ot <br />