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iii iimnimiuii ~ 1'A 1 pl <br />ANNUAL REPORT aFs .~ ~t~~i <br />PERMITTEE NAME: Alvin Mosch -Patricia Mosch A' 'j ~ ~ ~~DD <br />PERMfTNO.: M-1982-075 imcinq~fiN.Ir;~tph .hNnjpp~ <br />OPERATION NAME: Phoenix Mine <br />ANNNERSARY DATE: June 14, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Clear Creek <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 fee, a report and map shcwing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during [he upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please torte that an adequately labeled map that clearly deline~aes and includes <br />elemer~ nayray sor a atten report. ~r ~-~ <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ,4-li~~ w ~r ..S (!y <br />Address: Q v~~ ~-.~ <br />G, ~ a, -mss <br />~v . ~~ S~- <br />Company: r/.i~sc F/ ~• ~v. /- g <<,. <br />Phone No.: (~~ ) .S ~ ~- ° `~ ~ L <br />FAX No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separao~ sheet and attach it to this report form along with your map and/or <br />written report. <br />~u/ !~-Z/-~~ <br />Signature of Corporate Office. , or O~f caner Date <br />INSTRUCTIONS ON BACK <br />h1:WERMCM4ASTERD000MEM'S/M-AF-O? GOC <br />