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• cK~f wqs <br />,: <br />ANNUAL REPORT <br />PERMITTEE NAME: Sand Creek Farms, Inc. <br />PERMIT NO.: M-1992-038 <br />OPERATION NAME: Sand Creek Mine <br />ANNNERSARY DATE: September 1, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Adams <br />~~ $g ~ III 1111111 <br />999 <br />RECEIVED <br />SEP 0 5 2000 <br />Division of Minerals esd Geology <br />According to C.R.S._34-32-116(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 yeaz, 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 adegnatelY labeler! map that clearly delinentes and inckrdes 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 />r <br />Contact Name: <br />Address:~~ L1,o"`f <br />~~ 4 P.k13 ~r~ <br />S~~~O ~ <br />Company: PhD ~' N-~-e-fi~ '/-G'~ <br />Phone No.: (~) ~ :~'~-~'~i°Uf <br />FAX No.: ~io3) ~ 2 2 9~-3 <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 it to this report form along with your map and/or written <br />report. <br />ti <br />g - 3Z --ate <br />Signature of Cor oral Off ce , or Owner Date <br />INSTRUCTIONS ON BACK <br />A1:~PER At rllhlASTER DOCU M ENTSNI-T F-01 <br />