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• iii iiniiiiuiu iii <br />ANNUAL REPORT <br />PERMITTEE NAME: Lincoln County <br />PERMIT NO.: M-77-163-SG <br />OPERATION NAME: Fisher Pit <br />ANNIVERSARY DATE: November 21, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Lincoln <br /> <br />~~~30~ <br />p>wcEivE~ <br />NOV ~ 8 1999 <br />,.ca of Minerals & Geology <br />According to C.R.S. 34-32.5-1 l6(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances [hat are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note t{rat mt adequately labeled map drat clearly delineates and includes the above elements Wray <br />sake 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: Pete Aragon Company: Lincoln County <br />Adddress: P.O. Box 39 PhoneNo.:(~tg) ~a~_v~'t~ <br />Hugo Coloracle /I9®2} FaxNo.:(y}T743 28-}5 - <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />November 5, 1999 <br />Signature of Corpora Officer, or Owner Date <br />Land Use Administrator <br />INSTRUCTIONS ON BACK <br />