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• iii iiiiiiiiiiiu iii <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Caldwell Brothers <br />PERMIT NO.: M-86-016 <br />OPERATION NAME: Caldwell Brothers 3* <br />ANNNERSARY DATE: June Ol, 1999 <br />i <br />~~ <br />~ ~~ <br />~~ <br />DECEIVED <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $SSO.OO~AY 2 $ 19J9 <br />COUNTY: Otero <br />~,;rt~eion o1 Minetats & Geo1o9Y <br />v~ <br />~~ <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual tee, a report and map showCrig the extent of current disturbances <br />[o affected land, reclamation accomplished to date and during the preceding yeaz, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that 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 yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that an adequately labeler! map drat clearly delineates and <br />includes [lie above elerrrents may suffice 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:~L' ~ti ~~w e I I Company: ~ ~~ ~ ~~ ~Pot~ty~ <br />Address: 0?6 55S 1}w~ r/~ Phone No.: ( 715 ) 38y-.~d 5~ <br />p c <br />YsocKh ~cr ~, (U ~1b67 Fax No.: ( ) NuuC-' <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~ ~~ ~~~~ ~/~ /yy <br />Signature o Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />