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• iii iiiiiiiiuiu iii <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Tiger Timber, Inc. <br />PERMIT NO.: M-1991-082 <br />OPERATION NAME: Tiger Timber Site <br />•~~ata~ <br />~1ECEIVEC' <br />~uN as p0oo <br />ANNNERSARY DATE: March 17, 2000 pit~,,..apiMinef~B~~E• <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Teller <br />According to C.R.S. 34-32-[ IG(3)ja), 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 />[o 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 resort to this annual report. Please <br />note that an ndegruueh~ Inheled mup that ctenrly delineates curd irrclndes the nbove elemerrl: may <br />suffice for n 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: FRr~(~(!; ~ raU g H~ ~`~ <br />Address: F~ ~, ~o X t 2 ~ <br />l ~N ,E ~~~G t ,. C'o <br />SCr~,F 27 <br />Company: ~ ~ ~tiK / t mBf ~J <br />Phone No.: (7tk ) 7~1~' -36 •'- I <br />FAX No.: <br />If [here are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report form along with your map and/or wri~aen <br />report. <br />Signature o~Corporate Of icer, of Owner Date <br />INSTRUCTIONS ON BACK <br />h19PERMRUTASTERD(KUMEfYfSV.1-AF Ol <br />