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999 <br />ANNUAL REPORT . EIVED <br />~ a ~ ~~2 6 1999 <br />PERMITTEE NAME: Pridemore Construction, Inc. <br />PERMIT NO.: M-84-043 Division of Minerab & Geology <br />OPERATION NAME: Jesse Lee <br />ANNIVERSARY DATE: July 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Chaffee <br />According to C.R.S. 34-32-I1G(3j(h7, each year, on t tF-e anmv`ersary date ofTlie 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 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 <br />annual report. Please note that an ndequateh~ labeled Wrap dart clearly delinerues anti <br />inclades the ahove elements mny since for a tivrinen report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Con[ac[Name: Jeffrey Pridemore Com an Pridemore Const. Tnc. <br />P Y~ <br />Address: 12704 CR 195A <br />Phone No.: ( 71539-4524 <br />Fax No.: ( 719 ) 539-4524 <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 i[ to this report form along with your map andior <br />written report. <br />~G~jticr7 ,~-r~~~ 7 / 14 / 99 <br />Sign u of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />