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<br />ANNUAL REPORT <br />PERMITTEE NAME: CAMAS Colorado, Inc. <br />PERMTT NO.: M-1977-436 <br />OPERATION NAME: Tower Pit No I <br />ANNIVERSARY DATE: August 28, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Adams <br />~IIII~II~IIIII~I'I~ <br />sss <br />,° - -. <br /> <br />According to C.R.S. 34-32-(16(.3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing [he extent of curcent 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 vour revised annual report map and written report to this annual report. Please <br />note that nn adequately labeled map that clearly delineates and includes the above elements Wray <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: L on h / e /1~ llGtV/•r <br />Address: ~ U • Q ox ,3/~ <br />G~er?~ev /'~ ~v~33 <br />Company:~~crrcafP 1n~us~r~'es <br />Phone No.: (y99o ~ 336- ~s~6 <br />FAX No.: (gad 1 3 '7~' - ~ ~r6 <br />e-mail: COhh/p.0/aViS~GCCtnSd/P,C'oiy <br />if there are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Co rate Officer, or Ow r Date <br />INSTRUCTIONS ON BACK <br />Ai:~PER M I"M1 ASTERDOCUM EMSNI-AF-01 <br />