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ANNUAL REPORT <br />PERMITTEE NAME: Sand Land, Inc. <br />PERMIT NO.: M-1999-006 <br />RECEIVED <br />AU6 011000 <br />Division of Minerals and Geology <br />OPERATION NAME: Kurtz Resource Recovery & Land Devlprnnt Proj <br />August <br />1 -F.~ 2000 <br />Date <br />INSTRUCTIONS ON BACK <br />MdPEftMnV.1ASTERD000MEM'SUt-AF-01 'OGO OSZV D~~L1 ~~~ • /V~ G. ^xDO <br />V <br />ANNNERSARY DATE: August 4, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Weld <br />According to C.R.S. 34-32-1 I6(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 affected land. <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the 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 that an adequately labeled map that clearly delineates and includes the above elements nmy <br />since for n written report. <br />,~ <br />,l <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />COn[act Name: Christopher L. Varta Company: Varra Companies, lac. <br />Address: 12910 Weld County Rd. 13 Phone No.: (303 ) 666-6657 <br />Longmont, CO 80504 FAX No.: ( 303 ) 666-6743 <br />e-mail: <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 />~~! ~ <br />~. <br />Signature of Corporate Officer, or Owner <br />