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.. • # �,I� "I III IIIII9IIIIIII111 <br /> 99 <br /> RECEIVED <br /> ANNUAL FEE and REPORT REQUEST OCT 10 2000 <br /> PERMITTEE NAME: Lance and Bob Barker Division of Minerals and Geology <br /> PERMIT NO.: M-1977-417 <br /> OPERATION NAME: Sego Mine <br /> ANNIVERSARY DATE: November 1,2000 <br /> ANNUAL FEE DUE: $225.00(Due on or before your anniversary date) <br /> COUNTY: San Miguel <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, 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 to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: Y <br /> Permittee Contact: Lan Barke <br /> Permittee Name: Lance a ob Barker 19, 01 _ <br /> Address: 536 Orc Rd. k e (4I 4 —0—G 9033 <br /> /70) <br /> e,CC� 81235 <br /> Phone Number: ( 4-0199 / 6 — 9 <br /> Fax Number: 14q� — 01p <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclos <br /> pPr rA J Y PO r, ik 00 frV/V V <br /> Signature of Corporate Officer or Owner � �\, � (� �n f� _/f <br /> 200d <br /> Date <br /> 'SC) ✓1 up J a4 Pc. <br /> Y Po pIA 4 <br /> A1:'PERMrIN/ASTERDOCUMENTS/M-AF-02.DOC / <br />