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'~ • <br />III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Wilbur F. Benham <br />PERMIT NO.:L113-1984_039 <br />OPERATION NAME: Toltec No 2 <br />ANNNERSARY DATE: Apri125, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: San Juan <br /> <br />O'~91G1 <br />APR 2 q P000 <br />Division oFMinerals & Geology <br />_ According to C.R.S_34-32-1-1.6(3)(a), each year, on the anniversary date of the permit, an -_-_ _ <br />operator shalt submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Plense note drat an adequntely lnbeled mnp.(hat clearly delineates and includes the above <br />elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~6/l /J ~iJh fl l~ Company: S~~'7~ <br />Address: /o/ f',5~ o u_s Li %a n1 /( t~ ~ Phone No.: (SAD) .S7 y ~I o <br />/d ~ FAX No.: ( -J.Y9~~-C <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />L1 -ly-oy <br />Signature of Corporate Officer, or Owner Da e <br />INSTRUCTIONS ON BACK <br />A1:~PERA1nU1ASTERD000M ENTS/M-AF-O'_.D(K <br />