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~ ~ • IIIIIIIIIIIIIIIIIII • <br />~~- ~ac~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Rio Blanco County <br />PERMIT NO.: M-1995-046 <br />OPERATION NAME: Johnson Draw <br />ANNNERSARY DATE: October 7, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Rio Blanco <br />RECEIVED <br />SEP 1 4 2000 <br />OiYision of Minerals and Geology <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during the upcoming year, reclamation [hat will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this annual report. <br />Please note that an adequately labeled nrap that clearly delineates and includes the above <br />elements may since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name:,nf_~w ~ ~~tin~SSri~ Company: /P•~~ ,E9~.ro,to r'.a~.~~~~ <br />Address: / ~ .c L9 'L ; , /.' J vv , v (~~ Phone No.: (9 `~ o) G 9,~ ~/ !~/ <br />~e N c t ~v Co ~o ~„ ~/o ~'~(,.~T FAX No.: (`7~0) G ~.S _ ~ 2 J1 <br />e-mail: <br />If [here are additional comments and/or information that should be provided to the Division, <br />please provide it on a sepazate sheet and attach it [o this report form along with your map and/or <br />written report. <br />Signature orporate Officer, or Owner Dale <br />INSTRUCTIONS ON BACK <br />M:~PER MTf.1 ASTERDOC UM ENTSU7-AF-OJ <br />