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• ~IIII~~I~II~~~~~~I~ <br />999 <br />ANNUAL REPORT <br />PERMTTTEE NAME: Harold A Winter <br />PERMIT NO.: M-85-165 <br />OPERATION NAME: Winter Ranch Pit <br />ANNNERSARY DATE: November 26, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Las Animas <br /> <br />R~CCi~~~~ <br />NOV u 1 1999 <br />plwsion of Mineray & Geola9~ <br />O~~i91/ <br />According to C.R.S. 34-32.5-1-PG(3)(a), each year, on the anniversary dote of the permi[, an operator <br />shall submit the annual fee, a report 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, [he dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note drat an ndequate[y lnbeled map that clearly delineates and includes die above elements nary <br />sn~ce 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: HA3~LD A, 'JI -T33 Company: <br />Adddress:?~11C7 - Cn~[n`,~ ~~~~ ~<_n PhoneNo.:(719) a4~-9C"~ <br />- - 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 />S[gnature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />