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~ ~ • III IIIIIIIIIIIII III <br />i~ <br />ANNUAL REPORT <br />• ~~ <br />RECEIVE® <br />PERMITTEE NAME: Kit Carson County <br />PERMIT' NO.: M-1489-004 <br />OPERATION NAME: Raymond Duell Pit <br />ANNNERSARY DATE: April 26, 2000 <br />ANNUt1L FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Kit Carson <br />MAR 1'7 2000 <br />Division of Minerab 8 Geology <br />According to C.R.S. 34-32-116(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 affect,d land, reclamation accomplished to date and during the preceding year, new <br />disturbances that aze anticipated to occur during the upcoming year, reclamation that will be <br />performf;d during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please atttach Your revised annual report maa and written resort to this annual report. <br />Please note drat an adequately labeled mnp that clenrlydelineates artd includes tl:e above <br />elements may since for a 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 I'dame:I•I~Al~ ~~11/ ~{~IX~ Company: ,~/ ~ . <br />Address:/_~~ s~ ~ ~fh ~`~~'%~ Phone No.: (~~ ~ )~~-i~/i~- r~~3 <br />~~~x J~O~ FAX No.: (~ ~C/ ) ~~i~~ "~~c~ <br />~t-l±~ fin ~n ~~7 <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this repot form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />M: W ERMI"f\MASTERDOCUMENTSV.I-AF-0.t <br />