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'~ <br />ANNUAL FEE and REPORT REQUEST <br />RECEIVED <br />JUN 1 4 2002 <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Kiowa County <br />M-1991-073 <br />Ferris Pit <br />July 12, 2002 <br />$281.00 (Due on or before your anniversary date) <br />Cheyenne <br />Division of Minerals and Geology <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 ntap 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 stffce for a written <br />report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Rick Spady <br />Permittee Name: Kiowa County <br />Address: P.O. Box 100 <br />Eads, CO 81036 <br />Phone Number (7I9) 438-5810_ _ _ - - _ _ _ __ <br />Fax Number: (719) 438-5327 <br />If you have additional comments and/or information that should be provided to [he Division, please provide i[ <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Dale <br />M:NERM IT\hiASTERIX]C UM ENTS~hf-AF-PI <br />