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~ III IIIIIIIIIIIIIIII ~ <br />999 <br />ANNUAL REPORT ',~ ~ ~~ <br />PERMITTEE NAME: Weaselskin Corp. <br />PERMIT NO.: M-86-148 <br />`E~Er~Ep <br />OPERATION NAME: Weaselskin* <br />ANNIVERSARY DATE: July 06, 1999 JUl 12 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 '" ~t Mmeral~ g O~b9J' <br />COUNTY: La Plata <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the petfmit, an <br />operator shall submit the annual fee, a report grid utap showing the extent of curre~tt disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, pew <br />disturbances that are anticipated to occur during the upcoming year, reclamation [fat will be <br />performed during the coming year, the dates for the beginning of active operation, and the date <br />active operations ceased for the year, if any. <br />BRnual I'epOrt. Please note that nn adequately labeled map that clearly rlelineakes mrd <br />includes the above elements muy since for a written report. <br />1~I.o C'.tryk.~G~ ~:.tCL P2~.0~ P.E'Oaa-'T <br />Please type or print the current contact person's name, mailing address, and phonenumber in the <br />space provided: <br />Contact Name: ~ - ~- •• i t-h,~d-S ~p .-Q Company: 1-~~S ~~S~.A CAA <br />Address: cl-a~°i R ~ ~u..t S~'a Phone No.: (q 70) a. y~~ -ti"F ~ O <br />-11J~n-A-eeo C_U Fax No.: ( ) ~-~ ~.,,-s~ <br />~~ r <br />If there are additional comments and/or information that should be provided [o 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 Corporate Officer, or Owne R e <br />INSTRUCTIONS ON BACK <br />