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~- ~ .. ~ <br />HIV\VML a~ana v..a <br />999 ~r~1-11/ <br />PERMITTEE NAME: Agile Stone Systems, Inc. RECEIVED <br />PERMIT NO.: M-1997-054 <br />OPERATION NAME: Parkdale Project JAN 1 C 2000 <br />ANNNERSARY DATE: January 11, 2000 Division of Minerab&Geology <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Fremont <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 [he upcoming yeaz, 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 mid includes the above elements mm~ <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 />~U` ~~ !~f ~iar`~' Com an 17(~-tL~ ~>~To~tll; S~rS'~rrw~5 ,/,~ <br />Con[ac[ Name: ~ p y: <br />Address: (a~ti~ S' S. P~IUTthG ~','r Phone No.: (3y3) 7Hl- a5SC <br />~~g~~eU3l4l~ eO g`olll FAXNo.: (~O-3) 7~1 - 6a-Q3 <br />, -r- <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />~ aD <br />Signature of Corporate Officer, or caner Date <br />INSTRUCTIONS ON BACK <br />M: WERMIIV.IASTERD000AfENTSUI-AF-01 <br />