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.- <br />AIIlllllllllllllllll <br />PERMITTEE NAME: Skoglund Excavating Inc. <br />PERMTI' NO.: M-1996-089 <br />OPERATION NAME: Skoglund Pit <br />ANNIVERSARY DATE: March 20, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Saguache <br /> <br />RECEIVED <br />MAR U 2 2000 <br />pivisitm of Minerals 8 Geology <br />According to C,R.S. 34-32-1.16(3)(x), each yeaz, 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 [o affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are 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 adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a 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: k~t~ ~ I~O4~1Anc` <br />Address:~~ ~ 1( o2r~`~ <br />gl l'~t3 <br />Company:, ~ l_~~~Gtt) Q ~"I [1cq <br />Phone No.: ("11`~ ) ~5(D-44U'~ J <br />FAXNo.:(-7l~} )O2~10`t-lls~ <br />If there are additional comments and/or information that should be provided [o 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 />~~ K ~~-©~ <br />Signature of Corporate ficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M ~PERM1tITVNASTERDOCUAIENTSIM-AF-01 <br />