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~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: U S Soil Conditioning Company <br />PERMIT NO.: M-79-206 <br />OPERATION NAME: Maverick Placer* <br />ANNNERSARY DATE: June 16, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />~ III IIIIIIIIIIIIIIII <br />~~~~~1 <br />DECEIVED <br />JUN 0 7 1999 <br />n .~t Minerah & Geobgy <br />According to C.R.S. 34-32-11(i(3)(a), each year, on the anniversary date of [he petTnit, an <br />operator shall submit the annual fee, a repon and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed daring the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />.Please attach your revised annual report map and written report to this <br />annual report. Please note that nn adequately labeled map that clearly delineates and <br />inchrdes the above elements may suJjtce for a written report. <br />Please type or print the current contact person's name, mailine address, and phone number in the <br />space provided: y <br />ContactNamewSe,LtLl ~ ~.7U/'Ie~~2. Company:~~c~i~~ ~i~t~i><io/zinc, w. <br />~ ~- <br />Address: ~~(h, •~u h / ~ ~ Phone No.: (°~ l9 ) S 3`~- „35:3.$ <br />~.4 ~i ~A~ (J U ~~/ ~ d / Fax No.: ( ) <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 />wri~ n report. <br />,re of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />