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~" <br /> <br />~~` <br />~~~ <br />PERMITTEE NAME: Fred L Korinek <br />PERMIT NO.: M-1979-131 RECEIVED <br />OPERATION NAME: Korinek S & G Pit ~V~ 2 5 <br />2003 <br />ANNIVERSARY DATE: July 27, 2003 <br /> Division •f Mi <br /> <br />ANNUAL FEE DUE: <br />$281.00 (Due on or before your nerals and Geolo <br />auniversary date) gy <br />COUNTY: Crowley <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, atypperator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />- --reclamation-accomplished to date end during-the-preceding year, new dishrrbances that-are anticipated to-ocr..ur - <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 ynnr revised written annnal rennrt and annnal rp,~prt man 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: Fred L. Korinek <br />Permittee Name: Fred L Korinek <br />Address: 550 Lane 15 <br />Manzanola, CO 81058 <br />Phone Number: (7l9) 254-7271 <br />Fax Number: <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 [his form along with your written report and map. Annual Report instructions are enclosed. <br />Si ature of Corporate Officer, Owner, or Designee <br />7~~y ~~~ <br />Date <br />M:~PERM ITMASTERDOCUM ENTSVvI-AF-01 <br /> <br />