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1 III IIIIIIIII IIII III <br />• 999 • <br />ANNUAL REPORT <br />PERMffTEE NAME: Fremont County <br />PERMff NO.: M-1990-047 1 <br />OPERATION NAME: Quagmire Creek <br />ANNNERSARY DATE: January 20, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />~,.~ ~ ~~1 <br />KEr'E .. ~yL:,o <br />3R"- kt~,ty <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operata~ shall submit the annual fee, a report and map showing [he extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding yeaz, new <br />disturbances that are anticipated to occur during [he upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach Your revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map that clearly delineates rtnd includes the above <br />elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~N ~-.t.o Company: *-~~'Q-LY~~~G <br />Address: ~~g" t- 33 !~ Phone No.: ('x~~) 942--1}\ ~-$ <br />C~To Pecw ~ ~ ~tu3, FAX No.: (~1 °1 1 °J~L-- 41 ~ 8 <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 />~~I„ 5~, A~ ~~.~..~ Cam. -~-r r.,. ~\ , 2~ <br />Signature of Corporate Officer, or O~ Dale <br />INSTRUCTIONS ON BACK <br />~~ M:~PERMnVv1ASTERD000MEMSNI-AF-dl <br />