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,. ~ • III IIIIIIIIIIIII III r <br />RECEIVE® <br />ANNUAL REPORT <br />PERMI'[ TEE NAME: Kit Carson County <br />PERMff NO.: M-1989-003 <br />OPERATION NAME: Raymond Schulte Pit <br />ANNNERSARY DATE: April 5, 2000 <br />ANNU~~L FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Kit Carson <br />MAR 17 2000 <br />Division of Minerab 3 Ge010gy <br />1'995 <br />According to C.R.S. 34-32-1 l6(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished [o date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation [hat will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note that mt ndegnately lnbeled map that clearly delineates and includes the nbove <br />elements mny sn~ce for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: l~ Yi 1-~-TCP(1 ~A1~ <br />Address: c~ ~J ~ ~ ~~ ~I yPt~- <br />+~o ~ x i~~ <br />Company: /~ I~ p <br />Phone No.: (~~ `! ) .~~~n -0 /.~ ~ <br />FAX No.: (~ (~/ ) ~U (n ' ~~a <br />If there are additional comments and/or information that should be provided to the Division, <br />please I~rovide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />AI dPERMI IV.7A_'TER DOCUMENTSUI-AF 0.1 <br />