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.~. <br />• III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: Art's Fertilizer Co Inc <br />PERMIT NO.: M-1980-205 <br />OPERATION NAME: Arts Fertilizer Co <br />ANNIVERSARY DATE: October 2, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Weld <br />• ~ ~~$a~ <br />NECEIVED <br />SEP 18 2~0 <br />division of Minerals 8 (ieObpY <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 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 vour 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 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: 1~OtOL°Q~ ~ . t7,Ma dJ <br />Address: ~ • `C7 . ~ ~c ~ ~'~ <br />Company: se' I Z°~ ~ct -7P_~;G.CS <br />PhoneNo.:(3O3) 637 0/78 <br />FAx No.: (303) X37 7.33/ <br />e-mail: Se ~CC~irlo ~/~f~0/- ~r~i/J <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />~~~~~~ ~~ <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACX <br />M ~~PERMnN7ASTERD000AIENT5Vr7-AF-01 <br />