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• <br />ANNUAL REPORT <br />PERMTI-TEE NAME: Wayne A & Jerry A Mitchell <br />PERMIT NO.: M-1990-131 <br />OPERATION NAME: Mitchell Pit No 2 <br />ANNNERSARY DATE: February 14, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Adams <br />r III IIIIIIIIIIIIIIII <br />999 <br />:..+ <br />~.,~ <br />~~llt'F~ <br />FfB U 9 2000 <br />Dihsion olMl~~ & G <br />~9Y <br />_ _. _ - According to C.RS. 34-32_116(3)U, 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 to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the 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 yeaz, if any. <br />Please attach your revised annual report map and written report to this annual report. P/ease <br />note that an adequately labeled map that clearly delineates and includes the above elements nuev <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 Namep t.V AYNti. A. M/TCH~ LL Company: N~A <br />Address: I 0 ~Jt .~~7 PhoneNo.: (3O3) /oyy -3~.Zo <br />Ro'.nuu~ilT CD. SOIO,Z FAX No.: (N~A ) <br />r <br />L` there are 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 />~LL.C^ Z 1 t7 0 <br />Signatur f Corporate Officer, or Owner Da e <br />INSTRUCT/ONS ON BACK <br />M:~PERM rM1 ASTER DOCUMENTSNI-AF-01 <br />