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~~~e~ <br />ANNUA REPORT <br />PERMITTEE NA//ME: Green Brothers, Inc. <br />PERMIT NO.: t'M-1995-030 <br />OPERATION NAME: Green Bros Pit No 2 <br />ANNIVERSARY DATE: July 7, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Morgan <br />RECEIVED <br />'>~1V 15 2001 <br />Divl n of Reclamation, <br />fining and Safety <br />According to C.R.S_ 3432-116(3)(a), 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 dismrbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for [he beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual resort map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes the above elements may <br />since for a written xport. <br />Please type or print the current contact person's name, mailing address, and phone number in [he space <br />provided: <br />Contact Name: Company: <br />Address: Phone No.: ( ) <br />FAX No.: ( ) <br />e-mail: <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />~7 <br />Si a[ure of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:IPERMI'INIASTERDOCUMENTSN1-AE-01 <br />