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.; <br />~II IIIII~III~I~~ II~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Green Brothers, Inc. <br />PERMIT NO.: M-1995-030 <br />OPERATION NAME: Green Bros Pit No 2 <br />ANNIVERSARY DATE: July 7, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: 5225.00 <br />COUNTY: Morgan <br />,. <br />~. <br />RECEIVED ~, <br />JUN 2 3 2000 <br />Division of Minerals & Geology <br />Accultliu6 lu C.I.S. 1•I ~~ 116(?)(II), caih yr,lt, on Ills ,nwit ~ r,:uy Il,d~• ..f Ihl• rl•rmil, ,m nrrt;tlnr tihall <br />submit the annual fee, a report and map showing the extent of current disrurhances to al fected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and [he date active operations ceased for the year, il' any. <br />Please attach your revised annual report map and written report to this annual report. Piecr.se <br />note thnt un ndeyuntely luheied map tirnt c(enrly delineutes and includes the above elcnrents muy <br />since far u ~critten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Con[actName: JIM F, GREEN Company: GREEN BORS„ INC. <br />Address: P.O. BOX 858 Phone No.: ( 970 ) 867-2404 <br />FORT MORGAN, CO 80701 FAX No.:( 970 ) 867-2405 <br />c-mail: <br />If there are additional comments and/or information that should be provided to [he Division, please <br />I)fOVllll' Il llll J ~:UItuI~IIC .`~hl'l'I ~Illll illlilCh II In Ihl'~ It'rllrl fnrnt :Ihml' with Vnnr mar ,Inrl/nr n?itIPO <br />report. <br />JUNE 19. 2000 <br />Si azure of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON RACti <br />M.WERM I"IU1ASl'ERD000MENTSNI-AF-II l <br />