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• iii iiiiiiiiiiiu iii <br />ANNUAL REPORT <br />PERMITTEE NAME: Sutherland Brothers, Inc. <br />PERMIT NO.: M-96-031 RFCF <br />OPERATION NAME: Weimer No. 2 JUN 2 ;~ ~. y <br />QlMsionot,~,,.- y <br />ANNNERSARY DATE: July 02, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Montrose <br />f ~.~ <br />According [o C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the petTrllt, a ~" <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 note drat an adequately labeled rnnp that clearly delineates and <br />includes dre above elements Wray suffice 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: Bob Sutherland Company: Sutherland Bros. , Inc <br />Address: PO Box 889 Phone No.: (970 ~ 864-7662 <br />Nucla, CO 81 424 Fax No.: (970 l 864-7980 <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 />