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<br />• <br />iii iiniiiiminii ` 1'~ 1 pl <br />ANNUAL REPORT <br />PERMITTEE NAME: Phillips County <br />PERMIT NO.: M-1994-007 <br />OPERATION NAME: Johnson Pit <br />ANNIVERSARY DATE: May 23, 2000 <br />RECEI!/E® <br />APR 1 ~ 2000 <br />Division of Minerals & Geolo~~ <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Phillips <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, [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 map and written report to this annual report. <br />Please Hole that nn ndeyunrely labeled map dmt cleurly delineates and includes the above <br />elements may since for n 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: Randy Schafer Company: Phillips County <br />Address: 221 S. Interocean Phone No.: (970 ) 854-3778 <br />Holyoke. CO 80734 FAX No.: ( 970 ) 954-3911 <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 />~~~ , ~.Gt~ y/ 7/0 0 <br />Signatur of Corpor to Officer, or Owner Dale <br />/NSTRUCTIONS ON BACK <br />M:~PERA1rI1MA5TER D(xI1MEf~f5V.1-AF-PI <br />