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III IIIIIIIIIIIII III• ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Costilla County <br />PERMIT NO.: M-1977-044 <br />OPERATION NAME: Costilla Cnty Pit 1 <br />ANNNERSARY DATE: February 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Costilla <br />• <br />pd~p <br />r~C~EI~GD <br />FEB 14 2000 <br />~~s,an of Minerals 8 Gt~obgy <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the perntit, 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, [he dates for the beginning of active operations, and [he date <br />active operations ceased for the year, if any. <br />Please attach ynur revised annual report map and written report to this annual report. <br />Please note that an ndeyerately labeled reap that clearly delnteates and inclades 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 />C'i~niact Nomc:~~.IXA(~~'N_ Pi}G~IECO _ C'imi~,;im~. _ ~05YtL1.A _Ct)I,tNiy <br />Address: p• O. C3oX 100 Phone No.: (`711 ) CQ'7 i2-3377,_. <br />SAN ~,tt1S CG' ~ItSZ FAX No.:(•11~I) (o'f~-3q Lo x, <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 i[ to this report form along with your map and/or <br />written report. <br />0 Oa <br />C Signafu of Corp rate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M: WERMfM7ASTERD000MEM'SN7-AF-Oi <br />