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h I)l) <br />AN\L:U. hN:F and kEl'Ok'1' ItF'(21'FtiT <br />RECEIVED <br />PI•.R\til-I'I•:If NAMG: z tichmidt (on4iruction ('nmpany ~R 26 <br />PI'K~btfl NU.: r M-1989-069 <br />Oir+xion ut Mimrdx d EMI <br />OPCRA'lll)N NAh1I:: Winkler I.fyht 11;KreKate Quarry' <br />r\NNIVh,Rti.4R1' UA'I'I•: :+,pril 26. 21106 <br />ANNl4\I I I,If Dl'I': $688.001Uuc un ur before your annivenury dote) <br />('Ul ~Nl'1': Dou}~las <br />Accurdmg m l'_R.ti. 34-32.5-I I6 ur (.R.ti. 3~1-}?-I Ih, each Veef, On the annl4l`I'~al}' Bail' OI Ilte pcrtnit.:ut operadx' <br />,hull ,ubmil the annual tee, a icpurt and atop ehuwutg the extent of current dtsturftunees to attested land. <br />rccl:unauun ace,nnpl+shcd to date and dunng the preceding year, new disun'hanccs that arc anuctpatal Iu occur <br />durme the upronung year, rc•rl:unatum that twill he perli,rnted during the corning year, the dales 12+r the beginning <br />of actor ul,cr,,uuns, and the date ;uutc oprrahons ceased litr rho ycm', tl any. <br />1'Icace nttnch a~uur re4ised written annn•d r yu+rt and •nnn+~l rnfu+rt mnn In Ihic form /'le(1SQ ruNe !bu! un <br />,rJr,lu,rlrh lahr(rd rnuplhu) rlrurlr drlinr~rl~ , ~unl rurludr , rlr~• ~rhrn'r ~.drnrrrru na~s.toJfrrrJnr.r uvi!)r•n rapurr. <br />I)irision records mxhcatn the 1'ollotving pernuttce contact mtitrntauun. I'Icusc ccrifY and make an_v necesaurv <br />chances: . <br />Pcrnutlc•e (onhtel: ticolt Uavts <br />Pcnnntce Name: ticlurodt ('unslruetiun ('ompany <br />Address: 3635 Delut Dr. <br />('oh,radu Spnng.c, ('O K0911i <br />Phony Numhcc (7101 303.4207 _ <br />I~a.x Number: 17191 302-a2dS <br />II you ha4c addutonal ronunents and.'ur mlurntatiou That should be prmaded to thr Division, please provide rt <br />below or:mach it to ihtti futTtt along with your ttnttcn report and map. Annual Report mstrucUons arc enclosed. <br />•~ <br />• ~~ <br />tiignuUur of t'urpom(e OI'licer. (h4nce or Ucstgnce <br />~'G <br />Date <br />