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1 <br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-1995-027 <br />OPERATION NAME: Ansley Pit No 2 <br />ANNNERSARY DATE: May 8, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Park <br />~ IIIIIIIIIIiillllill <br />999 <br />RECEIVED <br />MAY 0 5 2000 <br />division of Minerals & G6obgy <br />1'A101 <br />According to C.R.S. 34-32-I 16(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit [he 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 annual resort. <br />Plense note that nn ndequntely (nbeled mnp thnt clearly delrnentes and includes the nbove <br />elements nrny 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: ~fx.~y ~, C/nnc~ Company:~~KCnu~ ~,k a- r3~rd~ <br />Address: ~a c ,r /y ~ /~y~ /'..z l~_ Phone No.: (y / 9 ) ~63~ - y283 <br />1~0.-.1'D ia,. (^y g[~44o FAX No.:( 7/a) 2S.3C~'y~~ <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 />~o Uu <br />Signature o Corpot to O tcer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: ~P E R M ITU7 AS T E R UOC U Al ENTS N1 ~ A F-OJ <br />