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tii ~ ~.. 1.,99 ~II ~I~~I~~I~~~~~~~~ <br />• •,;,!}!~finerals&GeoW9Y sss <br />ANNUAL REPORT ~`=CEIVEp <br />~,_, <br />PERMITTEE NAME: Art's Fertilizer Co Inc ~u" <br />~Rrs FeRnuzr=RCflrlatC& Geology <br />PERMIT NO.: M-80-205 Mhw H. Suppl <br />PMB 180 <br />08 Wadsworth, tl127 <br />OPERATION NAME: Arts Fertilizer Co tatcewood, co eo228.teeo <br />ANNIVERSARY DATE: October 02, 1999 ~r' <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />According to C.R.S. 34-32-116(3)(a), each year, 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 aze 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 />:1111111:[1 t'l'tlOrf. lYrn cr' m~lr• that un urlrgnarrrlr Irl~rlrrl rnrl~ rlr~u rh ;; rl•.~ Jr lire, r, ~ ,v-, r <br />inc'ludc•s rlrc ubucr c~lcnrenla' nrup suJ%icc fur u n rirrrn rrp~~rr. <br />Please type or print the current cont:rc•t person's nan)e, nutiling addretilisnsdt~etrl¢IFEAOtto711ptC.in the <br />Ashur H. Suppi <br />SpIICC pl'O~~I(1C(l: PMB 160 <br />98 Wadsworth. M127 <br />Lakewood, CO 80226.1550 <br />Contact Name: <br />MR. d MRS. ARTHUR H. SUPPI <br />Address: PMB 1ao <br />98 Wedswonh Blvd., N727 <br />Lekawooa, CA 80226.1550 <br />COltlpany: <br />Phone No.:~~3 ) S~~ ~ yW~s <br />Fax No.: <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 />~~~~ti .~ ~ ~ ~ ~-~9 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />