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• III IIIiiiilllllllll <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Northern, Inc. <br />PERMIT NO.: M-1980-136 <br />OPERATION NAME: Chambers Pit <br />ANNIVERSARY DATE: February 25, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Eagle <br />J- ~, <br />DECEIVED <br />MAR U 2 2000 <br />Division of Mirteral~ 8 ceotogy <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map-showing-the extent of current disturbances to affec[ed latid, <br />reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated <br />to occur during the upcoming year, reclamation that will be performed during [he 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. Please <br />note tha[ mi ndeyuntely labeled map that clearly delineates and nicludes the above elements rnny <br />since 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: fiWL P~c.KeraT1 ~~ Company: Lf~f~cR-Gtr <br />Address: t 5~o W ~ 1 yr''~ i~i/c . Phone No.: ('~"3 ) (a~> ~-43'3a <br />Dc-t.~y~ CQ 4~020~1 FAX No.: (30'8) ~~~ {- 433 <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 forni along with your map and/or written <br />report. <br />Signature of Cocpora[e Officer, or Owner <br />~/6/0~ <br />Date <br />INSTRUCTIONS ON BACK <br />M iPERMITN7ASi ERDOCUMEMSNA-AF-U I <br />