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~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Charles Bud Keeling <br />PERMIT NO.: M1991081 <br />OPERATION NAME: Keeling Pit <br />ANNIVERSARY DATE: September 23, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Huerfano <br />J <br />~E~~~v~~ <br />~pR U ~ 2p4~ ~ <br />~~, ~Sto~ °t M[~t a`S & G~ <br />According to C.R.S. 34-32-I 16(3)(a), 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 <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report maa and written resort to this annual report. Please <br />Hole that an adequately labeled map thnt clearly detiuentes curd includes the above elements nray <br />suffice far n ~rrinerr report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~~ ~Zr,'~.,~ <br />Address:~~ fox ~ 6 1 <br />_-~e_~,,~~ SI osS- <br />Company: <br />Phone No.:s~c() '] Y ~- Ski ~' 7 <br />Fax No.: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it [o this report form along with your map and/or written <br />report. <br />~~ r j {(~ ,Zy, a.0oa <br />Signature of Corporate Of cer, or Owner Date --~ <br />INSTRUCT70NS ON BACK <br />