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_~~ <br /> <br />ANNUAL REPORT <br />PERMTCTEE NAME: Kiowa County <br />PERMTI NO.: M-91-073 <br />OPERATION NAME: Ferris Pit* <br />ANNIVERSARY DATE: July 12, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Cheyenne <br />~ III IIIIIIIIIIIIIIII <br />"~ ~'~ <br />RECEIVED <br />JU-~ 1 ~ 1999 <br />Division of Minerals & Geology <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 to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that 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 maa and written resort to this <br />annual. report. Please note thou an adequately labeled nrap that clearly delineates nnrl <br />includes the above elements may suffice 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 Name: I ' t~t7l,~ J D ~l•`~ <br />Address:_J~QS ~o~ S~ <br />PO ~ Inc , r~ <br />~a~T~,f) RlO~Cl~ <br />Company: a... <br />Phone No.: ('11~) N 3g-SR~~ <br />Fax No.: (~ I q) ~ t`~ g'S,~ioZ 7 <br />/~o c>~~~ <br />If there eve 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 report form along with your map and/or <br />written report. <br />~o~~J <br />Si nature of Corpora e Offic or Owner Date <br />INSTRUCTIONS ON BACK <br /> <br />