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<br />SEP. 17. 1999 11~05Rf1 DIV~NERRLS&GEOLOGY III IIIIIIIII III III N0. 440 P. 3i4 <br />_, ~,~ <br />ANNUAL R>rPORT <br />RECEIVED <br />PF.RMITI'BE ATAME: Alma M. Pollard , <br />PERMIT NO:: i M-78.221 ' - - - , , , $~ i 2 ~. 1999 <br />OPERATION NAivIEi: K~Har-T Pit . Divi510l101 Minerals & Geology <br />.. ,. <br />ANNIVERSARY DATE: August 23,1999 <br />~ ~1 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE; $275.00 • <br />®~ <br />• COUNTY; Rio Hlaaco <br />According to C.R.S. 34-32-116(3)(x), each. year, on the anaivetsary daft of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of cturent disturbances _ - ____ _ <br />_ta affected land, reclamation accomplished to date and during Che preceding year, new <br />disturbances that are anticipated to occur during the upcoming yeaz, reclaznation that will 6e <br />perfatmed during the coming yeaz, the dates for the beginning of active operations, end the dare <br />active operations ceased for the year, if any, • <br />Please attach your revised annual renart ma» and written rgaort to this <br />aApual report. Please note that an adequately labeled map that clearly delineates and <br />includes the above 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; /~}} p p <br />Contact Name: 1:.0 ~C 1 R O C~D>e ~,\ Company: <br />Address: ~D • .Bpx •35<<L "/ Phone No.: (C1 ~~ 1 l1 7~ `- '`/3 (ol <br />m ems, ~ O ~/~o y' ~ Fax No.:_~ 1 <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 aadlor <br />written report, <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS. ON BACK <br />