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M1 <br /> <br />-r <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont County <br />PERMIT NO.: M-1990-138 <br />OPERATION NAME: Stirrup Pit <br />ANNNERSARY DATE: January 20, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Fremont <br />• Ill IIIIIIIIIIIIIIII <br />999 <br />RECEtVE~ <br />,ypn 1 a 2000 <br />~pnot Mutate & ~eoto9Y <br />~~~r <br />L~ u;_ <br />According to C.R.S. 34-32-116(3)(a), each yeaz, onihe anniversary date of~tfie permit, an - <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />Please attach Your revised annual report map and written report to this annual report. <br />Please note that an adequately Labe/ed map thnt clearly delinentes and includes the above <br />elements may suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ~N 'moo Company: ~~`R;'~ c~ <br />Address: POP~~ 33$ Phone No.: (~vg) °~hZ'4~~g <br />~d'roP'P~'xt, ~ 6~ZZ3 FAX No.: ! k~o1 ) 94Z - 4~~~ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Ow er Date <br />INSTRUCTIONS ON BACK <br />M:~PER M R V.7ASTERD000M EMSNI-AF-OI <br />