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<br />ANNUAL REPORT <br />PERMITTEE NAME: Hendricks Mining Company <br />PERMIT NO.: M-77-410 <br />OPERATION NAME: Cross Mine <br />ANNNERSARY DATE: November 03, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Boulder <br />• iiiiiiiiiiiuiiiiii <br />~ ~ ~~~ <br />'~~ ~ j <br />~ G~~~~O <br />r. = <br />1999 <br />a0~ 16 tam&~~~~~ <br />t~~~ <br />,J <br />.According to C.R.S. 34-32-116(3)(a), each year, or. the anniversary date of the permit, tin 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 .ire 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 resort man and written report to this annual <br />report. Please note that an adequately labeled rnnp that clearly delineates and includes the above <br />elements may since for a written report. <br />Please type or print [he current contact person's name, mailing address, and phone number in [he space <br />provided: <br />Contact Name: 110M11S S. -NDP_t~ll-S Company: ~ S EN~'¢t~tCS <br />Adddress: }nod PJOX (eS3 Phone No.: 3 .'_.~-'~ <br />City, State ZIP t~ti1Y,cL_LtknD. CO'.p. ~~~ Fax No.: (3D?~) aS~-~G~~ <br />If there are additional comments and/or information that should be provided [o the Division, please <br />provide i[ on a separate sheet and attach i[ to [his report fotm along with your map and/or written <br />of Corporate Officer, or Owner <br />a -~~ <br />D to <br />INSTRUCTIONS ON BACK <br />