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AA+-I+~T~A3. Rd?t3~7,3' <br />~~~,~:~~ ~r _~~,.-..~~: ~:~i4?'aaU 5aend ~ ~:~~°avel t:ar~~~y RECEIVED <br />ti~~~~ -.,~:.: ~- t~~-s.so <br />SEP 102002 <br />OPE.~:TDN'i?11s'F..: ~tierson ~~evelccntent <br />!~~~r1R`~ 17ATB; "aerstember ~~ .'.(ltl2 Givision of Minerals and Geolo9Y <br />~~ir ~.~.. ~ ~~ orr ~,~3virles~lt~ n~i;:: s6:zs.oo <br />Actor' ' g io CR.5. 34-32-Ito{3~a), eacis year, on the anrriversary data of the permit, an operator shall <br />subtni tht atmual fee, a report and map showing the extern of ctarr~t disxtrbances to affected ?and, <br />rec 'on accomplished to date and during the preeeding year, new disturbances ttsat are anfleipated <br />too daring the upcoming yeas, r~lamation that will be performed during the coming year, the dates <br />forth beginning of active operations, and the date active operations ceased far the year, if nay. <br />mote art adequately labeled map :hat clearly delineates <br />suffic for a carmen report. <br />Plearse <br />may <br />or prita the current contact person's name, marling address, and phone number is the space <br />Name: /tilA7Y ~XA~1~e~Z. <br />72`~7c a. / r Pn.d~, rn,r <br />t~0o1°~ <br />Company: E-~7o pw~~ HM~Ft~Y ~~a,~ <br />FhoaeNo.: (3~~ ~ 539- 3~7n <br />l?AXNo.: { 3~3 1 539- 3~?Z <br />email: <br />are additional r :mcs, s and/or information that should hz provided to the Division, please <br />it on a separate sheet and attach ii to this report form along with your Wrap and/or written <br />of Corporate Oar, or Owner <br />nor D'1 ~~t~"~°^ <br />02; <br />Date. <br />~s^rRVCrro~~ oN.a~cg <br />