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• iii iiiiiiiiiiiu iii- • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Mobile Premix Inc <br />PERMIT NO.: M-78-052 <br />OPERATION NAME: Howe Pit <br />ANNNERSARY DATE: June O5, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Adams <br />1'AII/ <br />RECEIVED <br />JUN 11 1999 <br />Division of Minerab 8 Geology <br />According to C.R.S. 3432-1 l6(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and~map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur daring the upcoming year, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note drat an adeyruitely labeler! map thnt clearly delineates and <br />includes [he Whore elements may sr:ffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he <br />space provided: <br />Contact Name: ~r'ie.~ieciCen'ttne Company: V~esken, Mob~E~L11-FUmG <br />Address: l~°l~ yJ. 12'~ HVe• Phone No.: 0503 ) (oS7- R3'So <br />I~~vefr[ t7. BOZO'} - 1 D Fax No.: (303 ) (055' 43~fI <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />6/~i/9 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />