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:~ ~ <br />FiECEIVEC~ <br />PERMITTEE NAME: Midwestern Farms Resource <br />PERMIT NO.: M-1993-059 MAR 0 4 2003 <br />OPERATION NAME: Midwestern Farms Division of Minerals and Geology <br />ANNIVERSARY DATE: March 4, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Prowers <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 operator <br />shall 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 that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anneal report and anneal report mad to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: James H. Kirkland - <br />Permittee Name: Midwestern Farms Resource <br />Address: P.O. Box 580 <br />Rye, CO 81069 - - - <br />Phone Number: (719) 489-3385 <br />Fax Number: (719) 489-2268 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Owner, or Designee <br />Date <br />M:~PERMI7VNASTERDOCUMENTSU1-AF-OI <br />