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• III IIIIIIIIIIIIIIII <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Edward W. Yaklich <br />PERMTI' 1`lO.: M-1989-024 <br />OPERATION NAME: Shangri La Pit <br />ANNNERSARY DATE: July 26, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Custer <br /> <br />RECEIVEp <br />MAY 11 2000 <br />~i~sion of Minerals & Geology <br />According ~:o C.R.S. 34-3?-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the ,mnual 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 />[o 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 />mate that an adequately Inbeled mnp that clenrly delineates and includes the above eleme;rrs pray <br />s;effice for a wrilten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: ~ /~ <br />Contact I~trne`.;/ ~2tiC'1 Company: <br />Phone <br />FAX No.: <br />~l <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />e rt ~-~'c~~-C-. <br />~~~«t+t <br />If there are additional comments and/or information that should be provided to e Division, please <br /> <br />r po <br />L~/~> l~ _eC. -~JJ~IC ~-ttd [X- ~ ~-c ~L~~ o-Cis <br />i7 <br />u ~ ~ '' /' "C . cC"' ~ <br />Sign re of Corp ate Officer, or caner Date <br />INSTRUCTIONS ON BACK <br />A7 iPERA1rM1ASTEP UCKUMENTSNI-AF~01 <br />