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• <br />PERMITTEE NAME: Nielsons, Inc. <br />PERMIT NO.: M-76-059 <br />ANNUAL REPORT <br />OPERATION NAME: Cortez Sandstone Quarry <br />ANNNERSARY DATE: June 17, 2000 <br />• III IIIIIIIIIIIII III <br />RECEIVED <br />'JUN 1 9 2000 <br />pitrision of Minerals 8 Geobgy <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 (PREVIOUSLY SUBMITTEDI <br />COUNTY: Montezuma <br />According to C.R.S. 34-32-] 16(3)(a), each year, on the anniversazy date of the permit, an operator shall submit <br />the annual fee, a report and map showing the extent of current disturbances to affected land, reclamation <br />accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the <br />upcoming yeaz, reclamation that will be performed during the coming year, the dates for the beginning of active <br />operations, and the date active operations ceased for the yeaz, if any. <br />Please attach vour revised annual resort map and written resort to this <br />annual report. Please note that an adequately labeled Wrap that clearly delineates and <br />includes the above elen~erits niay suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space provided: <br />Contact Name: Douglas L. Conger <br />Address: Post Office Box 1660 <br />Cortez. CO 81321 <br />Company: NIELSONS.INC. <br />Phone No.: (970) 565-8461 X-113 <br />FAX No.: (970) 565-U188 <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 report. <br />NIELSgjVS, INC. <br />\U /U\l EFFECTIVE: <br />14 June 2000 <br />Signature o orporate Office or Owner Date <br />Douglas L. Conger, Geologist <br />Attorney-in-fact <br />INSTRUCTIONS ON BACK <br />