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<br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-1980-251 <br />OPERATION NAME: Ansley Flat Pit <br />ANNNERSARY DATE: April 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Park <br />~~ <br /> <br />MAR 2 4 2000 <br />DINSiOn of Plinerab 8 Geology <br />According to C.R.S. 34-32-t 16(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 yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this annual report. <br />Please note that atr adeyuntely labeled map that clearly delinentes and includes die nbove <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:_~rx Y ~w « Company: ~~ E r.-.. ~,. 2~„~t x 3r',~t <br />Address: 9l~8 ty7 Phone No.: ( ~!q ) Sara- x283 <br />~:~t lam C,D gUH4D FAX No.: ( 719 ) `t3~' Y275 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide i[ on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~ .~ a~ ~d <br />Sig ure of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:~PERMIT\MASTERD000MEMSU7 ~AF~6/ <br />