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N III III 111111 IIIII <br />ANNUAL REPORT <br />PERMITTEE NAME: Mine Development Inc <br />PERMIT NO.: M-81-165 <br />OPERATION NAME: Neglected Mine <br />ANNIVERSARY DATE: October 02, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: La Plata <br />• <br />... ~I,i <br />~~~ <br />-CEfVED <br />-;a~a 8 Geoio9Y <br />According to C.R.S. 34-32-I :16(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 during 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 vour revised annual report map and written report to this <br />annual report. Please noter tltctt an adequately labeled Wrap that clearly delineates mtd <br />includes the above elements ma}~ suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: /7'.7 r~~/~ 1:. .C« x.'-~ 3"r' Company: ~;ter. Ik ~.~c~Ijs ~ Lnc <br />Address: 3.i t ; ~ ~/ ~t { w • Phone No.: (; 7n ) : ~l ~- ~ 6',' ~- <br />9:ti~~,,.,, C:,io. ~t3~! FaxNo.:( ) //~ <br />[f 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 />Signature of Corp ate fficer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />