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<br />~II IIIIIIII~I~I~ II~ <br />ANNUAL REPORT <br />PERMITTEE NAME: George Speer <br />PERMIT NO.: M-83-176 <br />OPERATION NAME: Speer Development <br />ANNNERSARY DATE: December 09, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Adams <br />'~ <br />~' 1' <br />R6aoa~ 9 GerawW to uo!sN!0 <br />6661 8 T AON <br />a~ni3a~a <br />.=FGENE~ <br />Np~ ].8 1999 <br />;+linetay & Geo1o9Y <br />According to C.R.S. 34-32.5-1 16(3)(a), each year, on the anniversary date of [he permit, an operator <br />shall submit the annual fee, a relx~r< and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the begint~'ng of-.ac\tive operatto an the~datelac-~ive operations ceased for the year, <br />if any. [.~rff,-,'~^~' ('~',p ~/ , <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn adegt=ately labeled map that clearly delineates attd includes the above elements may <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: I~EoR~w Company: OrL I,J~NC <br />Adddress: I ~~ ~. I ~ R I G tr;Tal~ Rhone No.: - ~ <br />u~y>.~,~'~-~;-~~~ Fax No.:~a3) ~~ - ~ .3 ~ Gj -- <br />If there aze 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 />Signature of Corporate fficer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />