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<br />• III ~I~II~II~'I~~'ll <br />ANNUAL REPORT <br />PERMITTEE NAME: Sanborn Sand and Gravel <br />PERMIT NO.: M-84-094 <br />OPERATION NAME: Gloria Z Mine* <br />ANNNERSARY DATE: July 17, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Park <br /> <br />~~,~,BD <br />RECEIVED <br />JUL 12 1999 <br />Division of Minerab 8 Geology <br />According to C.R.S. 34-32-116(3)(a), each year,~n the anniversary date_of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for [he year, if any. <br />Please attach vour revised annual report map and written report to this <br />annual report. please note that cur udequute[~~ labeled mop thnt clearly delirrentes mrd <br />includes the nbove elements mm~ srr~ce for u written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />,, zL <br />Contact Name:s,gnlD12~4 ~• SHrt/8a2NCompany: S~IN$~~N SfFND~G~~ ~iiC' <br />Address: PO B a Jc c~ ~ a- <br />~~PLr3y ~'o {~'Oyy c7 <br />Phone No.: ( /l/') ~.3~ - r~ ~/a <br /> <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 />Signature of Corporate Officer, or caner Date <br />INSTRUCTIONS ON BACK <br />SANBORN SAND & GRAVEL, INC. <br />P.O. Box 362 <br />Fairplay, CO 80440 <br />)19.836.2406 <br />