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• 111 lllllllllllll 111 • <br /> 999 <br /> ANNUAL REPORT RECEIVED <br /> PER.MITTEE NAME: Corkle Construction APR 12 2000 <br /> PERMIT NO.: M-1995-023 Division Of Minerals&Geology <br /> OPERATION NAME: Peterson Pit <br /> ANNIVERSARY DATE: June S, 2000 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br /> COUNTY: Jackson <br /> According to C.R.S. 34-32-116(3)(a), each year, 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 that cm adequately labeled map that clearly delineates and includes the above elements may <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: 4av-llm C",kl�e Company: il)ajdP rAnS�nitC1f1i9n /fit <br /> Address: Phone No.: (q2O )i1-23-46 7(a <br /> FAX No.: 19,;23 -3-)0� <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 /> -/0 — 20crc� <br /> Signature of orporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br /> M:1PERMITMASTFRDOCUME T M AF-01 <br />