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III IIIIIIIIIIIII III <br />,: <br />~; <br />• ANNUAL REPORT <br />PERMITTEE NAME: Hall-Irwin Construction Co. <br />PERMIT NO.: M-1997-058 <br />OPERATION NAME: Baseline Resource <br />ANNNERSARY DATE: February 12, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Weld <br /> <br />~~ <br />RECEIVED <br />MAR ~ 3 ~~ <br />~~~~ <br />pivision o1 Mineran & Geology <br />According to C.R.S. 34-32-1 l6(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 year, 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 thnt art adequntely lnbeled mnp thnt clearly delinentes and includes the above elements mny <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 />Contact Name: ~~ .^2 <br />Addressrr: ~((O. ~oX. Spp)~ <br />191~R.12... ~ OG ~93 7 <br />Company: TIG ~ 1 SQ`w ~ „. <br />Phone No.: (9~0 ) 3S Z - Loc' T <br />FAX No.: (~~ ) 35 Z - jpp~-L~ <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 />Sig re of rporate ficer, or Owner Da <br />INSTRUCTIONS ON BACK <br />M:~PER AIIT\MASTERDOCUMENTSNI-AF OI <br />