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<br />ANNUAL REPORT <br />PERMITTEE NAME: Lincoln County <br />PERMIT NO.: M78078SG <br />OPERATION NAME: George Ansley Pit* <br />ANNIVERSARY DATE: May 24, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Lincoln <br />,,:~GEIVE~ <br />,.,,~.:~ Mat~eta~ g,~eolo9Y <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during [he preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for [he <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that nn ndequately labeled map that clearly delineates and includes the above elements may <br />suffice for a wriden report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Pete Aragon <br />Contact Name: <br />Com an Lincoln County <br />P Y~ <br />Address: P • 0. Box 39 <br />Hugo, Colorado 80821 <br />Phone No.:_(719) 74 3- 2 3 37 <br />Fax No.: (719) 743-2815 <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 />~~ ~l~lt~ October 26, 1999 <br />Signature of rporate Officer, or Owner Date <br />Land Use Administrator <br /> <br />INSTRUCTIONS ON BACK <br />