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w <br />~, <br />• • <br />A iininiuiminii ~~A 111 <br />PERMITTEE NAME: Tom and Regina Farmer <br />PERMIT NO.: M-1983-159 <br />OPERATION NAME: Gleason Pit <br />ANNNERSARY DATE: January 30, 2000 <br />ANNUAL FEE DUE ON ANN NERSARY DATE: $225.00 ,~ECEIVEG <br />COUNTY: Montrose ~pN 20 2~~0 <br />Division o1 Minetats & Geow9Y <br />According to C.R.S. 34-32-1161.3)(a), each yeaz, 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 an adequately labeled map that clearly delineates aitd 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'~t0. ~~10. ~C"a-r m'e `r <br />A~ddress\: .3 `) cl t g 1'~,w~.r l `'15 <br />1C.cc),~ a-~e ~D <br />~; i H 31 <br />Company: ~ar m er l~ ~ ns ~~ ~n ~K~• <br />Phone No.: (~i?O ) 3a 7 - c/3~ <br />FAXNo.:(S7U) 3a~7- 0350 <br />If [here aze 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 />ctivrvv/i 1- 1 7 ` tj D <br />Signatur Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />Al ~PERMrIVv1A5TERD000h1EMSU1-AF~01 <br />