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iiiiuiiiiuimiu ' ~ <br />ANNUAL 91ZN:YORT ~ ~,~ <br />PERMITTEE NAME: Ronald L Barrier <br />PERMIT NO.: M-94-OSl <br />OPERATION NAME: Peat Mine '+.~Ci~~VED <br />.~ ,. •,, <br />ANNNERSARY DATE: December 21, 1999 '. = - ~ ' 1~~ <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 c. tytinerah &Geob9Y <br />COUNTY: Alamosa <br />According to C.R.S. 34-32-116(3)(x), 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 <br />re Ott. Please note that apt ndegnale[y labeled map that cleverly delineates and includes the above <br />elements may 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 />ContactNa/nm~e: M!12~.(~Y'~~I~ Company:+~/.. /`~~(,~ <br />Adddress: 'tf'~ dpi ~ Phone No.: (~/~ 1 'S~7el'-~~Z~-- <br />City, State ZIP ~~~ /)~ 0 ~llG ~ Fax No.: (~'lq) Sg7' ~S <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 />a- - <br />S g ature orporate ficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />