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- . ~ ~ - • iii iiiiiiiiiiiuiii ~ ~~ <br />~ ~l ~ .. <br />ANNUAI, REPORT <br />PERMITTEE NAME: Weaselskin Corp. <br />PERMIT NO.: M-1986-148 Ju~ ~ 2~ <br />OPERATION NAME: Weaselskin Divisiono(M erals&Ge~ <br />ANNIVERSARY DATE: July 6, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: La Plata <br />According to C.R.S. 34-32-1 lb(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 ffected land, <br />reclamation accomplished to date and during the preceding year, new disturbances tha are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the com' g year, the <br />dates for the beginning of active operations, and the date active operations ceased fort e yeaz, if any. <br />note that urr udeytcutely labeled rnup tl:ut clearly delineates mrd includes the above <br />suffice for cr written report. <br />Please type or print the current contact person's name, moiling address, and phone n <br />provided: ^ ' \ <br />Contact Name:~~k ,-o-i ct ~ j ,-!y R~~''U-i Company: W ~ >q 5~~~ ~ <br />Address: (.2 ~~ `, S- I-ha~-~S 5~ Phone No.: (`t ~u' ) ~ 4~ <br />a A ~, ~: ~, C C7 FAX No.: ( `~~ ~ r- <br />1303 e-mail: <br />Please <br />may <br />in the spocc <br />A-~ 01 <br />If there are additional comments and/or information that should be provided to the Divi ion, please <br />provide it on a separate sheet and attach i[ [o this report form along with your map and/ r written <br />report. ~ <br />~~ r~. ~,Gca ~//~cGLO7r74L Sd"f ~//~"~ log Z c7nu <br />Signature of Corporate Officer, or Owner Da <br />/NSTRUCTIONS ON BACK <br />M WERA1rM1ASTERDDCUMF.tYf5U1-AF~fll <br />