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ANNUAL REPORT ,~ <br />®~ <br />PERMITTEE NAME: Western Mobile Southern, Inc. <br />PERMIT NO.: M-87-131 <br />OPERATION NAME: Penrose Pit RECEIVED <br />ANNIVERSARY DATE: July 29,1999 AUG 0 9 ~ggg <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont `-~v~sion of Minerab & Geology <br />According to C.R.S. 34-32-116(3)(a), each yeaz, 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 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 the year, if any. <br />Please attach your revised annual resort map and written report to this <br />aMUal report. P/erase note that an adequately labeled map that clearly delineates and <br />includes the above 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: Sri ~ ~1C?i?'~tA Company: V~P~st-~ I/Iobr7B/L~i-4ta~ <br />Address: l'S°!0 W . 12'~ Ave. Phone No.: (303) 1057- 9330 <br />17P~~P_r, CfJ . ~3oZO4-3410 Fax No.: ('A3 ) 105- 4~~9 <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 this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />