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.~ <br /> <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Northern, Inc. <br />PERMIT NO.: M-1977-098 <br />OPERATION NAME: Sievers Pit <br />ANNIVERSARY DATE: June 30, 2000 <br /> <br />39~i'1~ <br />~~~EIVED <br />~ u ~,~ ,. 2ouo <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00~~'+is•~~~~~ ~NineralSf.Ge0logy <br />COUNTY: Garfield <br />According to C.R.S. 34-32-1 16(3)(x), each year, on the anniversary date of the permit, an operator shall <br />submit [he 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 year, 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 year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an ndeyerntely labeled mnp that clenrly delinentes and includes the above elements may <br />str~ce 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 Name: T/NL L~ifit'<~tna-P Company: ~.A h.~~ <br />Address: ~~190 IA. ~2~'` ~I/~ PhoneNo.:( ~3) ~05~'-4330 <br />D-lirtiJfi-. ~ $020 FAX No.: (3a3) (DGi~-- 4339 <br />If [here are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />6/~'/~ <br />Signature Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />\ M.WERMfM1A$TERD000M ENTSNI-AF-01 <br />