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• <br />:.~ <br />III IIIIIIIIIIIII III <br />999 <br />. VED <br />ANNUAL REPORT <br />' 200 <br />s & Geolo9Y <br />iECEIVEC <br />~a~ 2 5 zooo <br />PERMITTEE NAME: Louis M. Wyman <br />PERMIT NO.: M83037 <br />OPERATION NAME: Wyman Pit <br />ANNIVERSARY DATE: May 31, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 .rotMinerale&Geoiogy <br />COUNTY: Routt <br />According to C.R.S. 34-32-116(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 that 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 <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. P/ease <br />mote that mr adequately labeled map that clearly delrnenles and includes the above elements nwy <br />suff7ce for n wrrtten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Natne: ~. a v wy/MA /I~ <br />Address: ~,~ c X a 7 <br />[f 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 />Signature of Corporate Offi e , or Owner Date <br />INSTRUCTIONS ON BACK <br />Company: ~/ / ~ <br />Phone No.: (97L~ ~„~ / -` ~' / :~ <br />Fax No.: <br />