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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Baculite Mesa LLC <br />PERMIT NO.: M-1997-011 <br />OPERATION NAME: Baculite Mesa Pit <br />ANNNERSARY DATE: July 9, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Pueblo <br />999 <br />1'Alil <br />~EC~fVE® <br /> <br />Division of Minerals & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances [hat aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach Your revised annual report map and written report to this annual report. Please <br />note that an ndeyuately labeled map that clearly delineates and nrcludes the above elements may <br />sake for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: FRED J. ORR <br />Address: 5040 ACOMA STREET <br />DENVER CO 80216 <br />Company: BACULITE MESA, LLC <br />Phone No.: ( 303 ) 245-1216 <br />FAX No.: ( 303 1 295-1256 <br />e-mail: StandardGroup@aol.com <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />1(~ t99 <br />Signature Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:7PERA7IiU'IASTER DDCUMEM'SU1~AF-01 <br />