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• III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />~~c~iv~© <br />~h~AY 15 2000 <br />iliuteion of Minerals 8 Geology <br />PERMITTEE NAME: James VanElla ~ _ ~ ~ ~ ~~ <br />PERMIT NO.: M-1992-045 <br />OPERATION NAME: Gold Basin Mine <br />ANNNERSARY DATE: July 21, 2000 ~• ~ <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 '®~' ~~ <br />COUNTY: Chaffee <br />According to C.R.S. 3h-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 [he 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 vour revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map that clenrly delineates and includes the above <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: (J~ <br />Address: ~~a ,~~n~~„~_~ <br />Company: /' <br />Phone No.:~q ) ~b~ 7D~~ <br />FAX No.: <br />e-mail: ~r'a~Ql3A5/N~/~o~,NyiL ,C~/yf <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 [his report form along with your map and/or <br />written report. <br />2„ ~~ic d-~..X D,cvyt~l ~ O D <br />Sio atorporate Officer, or Owner Dat <br />INSTRUCTIONS ON BACK <br />M.~PERA7nV.7A5TERD000A7ENT5/A1-AF-0? DOC <br />