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• ~~~ I~II~II~IIIII I~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Farmers Construction Inc <br />PERMIT NO.: M-95-038 <br />OPERATION NAME: Spot Pit <br />ANNNERSARY DATE: October 30, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: San Miguel <br /> <br />-®~ <br />RECEIVE <br />OCT 0 8 199 <br />.+~s~on of Minerab & Geology <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the 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 Wore rluu un u~(equurelr lube(ed mup that cleurlr dclirrcures and <br />inch~des the « bnve elements muy suJf ice Jot « «v'itren report. <br />Please type or print [he current contact person's name, mailing address, and phone number in the <br />space provided: <br />ContactName:~aT~r~rvr~~vr Company: 1-ct,rrneY~s C.,..af<•G.7hL~ <br />Address: ~"I ~l I `< I j w ., laf ~ Phone No.: (r70 ) 3 a 7 - ~/3 / ~ <br />J~ O (3~ 39 FaxNo.:(970 )3~7-o35G <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 />Signatu of Corporate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />