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eK#-1331.9 ~ ~ ~ ~ ~k s'" <br />ANNUAL REPORT <br />PERMTTTEE NAME: CAMAS Colorado, Inc. <br />PERMIT NO.: M-1999-034 <br />OPERATION NAME: Cooley Reservoir & Fulton Wildlife Area <br />ANNNERSARY DATE: September 9, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Adams <br />t_, <br />-. <br />SEP 1 y 1t;uU <br />Division of Minerals and GeolegY <br /> <br />According to C.R.S. 34-32-1 l6(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 nn adegnnte(y labeled map that clearly delnieates and indndes 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 ~ tr _ C 4.{O~t'-'1'[L(A <br />Address: i ~ S <br />.~r,n~ Tlr~~//~~ S~. <br />kP/ f cY~C ~ W ~ O'z3S <br />Company: br-IOnrP~a~~ -Z~/ i ~T'l~ <br />Phone No.: (~>3 nl(-, ~ ~~ <br />FAX No.: (~a3 )'J 1(,p - 5 ~--~ g <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 i[ to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner <br />`~ lS'c~C7. <br />Date <br />INSTRUCTIONS ON BACK <br />M WERA1RV.tASTERD000MENTSU7~AF 01 <br />