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ANNUAL REPORT <br /> 'DECEIVED <br /> PERMITTEE NAME: Nikolaus Arnusch FEB 14 2000 <br /> PERMIT NO.: M-1981-287 :1,111un of Minerab&Geology <br /> OPERATION NAME: Arnusch Grav Pit 3 <br /> ANNIVERSARY DATE: February 25, 2000 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br /> .'.l `r <br /> COUNTY: Weld hA W W t <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 annuT feel 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 may <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: Company:f �n(/�S( 441/ 121 3 <br /> Address: Phone No.: - 7 <br /> FAX No.: ( ) <br /> NGI Cffi���'E <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 /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> M:WERMnNIASTERDOCUMENTSIM-AF-01 / <br />