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<br /> <br />~,-. <br />ANNUAL REPORT <br />PERMITTEE NAME: Phillips County <br />PERMIT NO.: M-89-095 <br />OPERATION NAME: Schneller Clay Pit <br />ANNNERSARY DATE: November 27, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Phillips <br />~°a9'~ Q~ <br />?ECEIVED <br />NOV 19 1999 <br />.,. ~: ~ ct Minerals & Geology <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee,-a-reporrand map showing the extent'of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated [o occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that nn adequately labeled map that clearly delineates and incGtdes 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: Randy Schafer <br />Company: Phillips <br />Adddress: 221 S. Interocean <br />Holyoke, CO 80734 <br />Phone No.: (970) 854-3778 <br />Fax No.: (970) 854-3811 <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 of Corp to Office , or Owner Date <br />INSTRUCTIONS ON BACK <br />