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• <br />ANNUAL REPORT <br />PERMITTEE NAME: U S Soil Conditioning Company <br />PERMIT NO.: M-1979-206 <br />OPERATION NAME: Maverick Placer <br />ANNNERSARY DATE: June 16, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Fremont <br />ti'AI°1°mnunuiii <br />.. <br />t~rnrl\/ED <br />~~~ ~ z. 2000 <br />~iy~ion of Minerivs ~ Geology <br />According to C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the permit, an operator shall <br />submit thcannuat fee, a report and map showing the extent of current disturbances [o affected 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 the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. P(ense <br />dole shat an ade~uate(y labeled map dint clearly delineates and includes the nbore elements mciv <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~p~OSG' ~-L ~ • ~.114CIQ~ ~ Company: ~.~,~. ~ 6 t <br />Address:PB 37C~~1 ~ orL~O Phone No.: (714 )5"39-3 u`Y.3S- <br />~~ td.Ce , 'C~ FAX No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. ~ <br />_,~~ y ab <br />ure of Corporate Officer, or Owner D e <br />INSTRUCTIONS ON BACK <br />M ~1PERA71TU1ASTERD000MENTSNI-AF-01 <br />