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999 <br /> ANNUAL REPORT rA <br /> PERMITTEE NAME: Western Mobile Southern, Inc. <br /> PERMIT NO.: M-1990-144 RECEIVED <br /> OPERATION NAME: Fillmore Pit KAR 0 2 2000 <br /> ANNIVERSARY DATE: March 22, 2000 Division of minerals&Geology <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Pueblo <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 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 nap that clearly delineates and includes the above elements may <br /> suffice for it 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: iEP-1 G Company: LAFA-P-GiE <br /> Address:_ IZy'` /-VE . PhoneNo.: ( tD57- -933L <br /> DEtAue?— Go 0020'et FAX No.: (vim <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 /> Signature Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> AI\PERMrTWASl ERDOCUNIEN SW-AF-OI <br />