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III IIIIIIIIIIIII III ~ ~ ~ <br />ANNUAL REPORT , RECEIVE <br />D <br />~~ OCT 14 1999 <br />PERMITTEE NAME: Saguache County , <br />Division of Minerals 8 Geobpy <br />PERMIT NO.: M-77-567 <br />OPERATION NAME: Airport Pit <br />ANNNERSARY DATE: November 25, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Saguache <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit. an operator <br />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 <br />anticipated to occur during the upcoming year, reclamation that will be performed Burin; the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual reG~ort. P/ense <br />note tltat an ndeq~enlely (nbeled map tlwt c/early delineates and includes the above elements may <br />since for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />(~ o i <br />Contact Nam//e~~: ht1~u ~ ht~6F«~ Company: ~ <br />Adddress: f= ~. ~t oX ~'~~ Phone No.: (7/ G ~5-- Z 5-5 <br />J~C9llwC1.~' ~C~ O~ ~'~- I FaxNo.: (7/Y~ (~5 - Z~ ~ 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 />ld l(e ~`~ ~ <br />S n ure of Corporate Officer, ne Date <br />INSTRUCTIONS ON BACK <br />