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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Southern, Inc. <br />PERMIT NO.: M-1985-218 <br />OPERATION NAME: Rich Pit <br />ANNNERSARY DATE: April 14, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Pueblo <br />• iii iiiiiiiiniiii~i <br />999 <br />i~ECEIVcL'' <br />AFR ~° "' 2000 <br />~,_;.~„~ I,i tdin;2~7 & Gt;o105Y <br />1'~ 111 <br />According to C.R.S. 34-32-116(3)(x), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that art adeyuate/y tabe/ed map that clearly delineates m:ry includes the above elements play <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~ iG '~~ k EI-GTI N~ Company: L i4 F kR.-~ E <br />Address: 15r1G ~ , f Z~` }~/tr. Phone No.: (mac 3 ) (r ~ f - ~1 "7 mac' <br />D t u V ~>r- ~ [:f' 'Solt ~} FAX No.: ( '~,,'') ~ ~ f - ~f-3- ~~'/ <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 <br />report. <br />y~ ~6a <br />Signature of orporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />AI: W ERA11TU1ASTERD000MENTSNI~AF-01 <br />