2005-06-20_REPORT - M1982067

• Permit No: M1982067
• IBM Index Class Name: Report
• Doc Date: 6/20/2005
• Doc Name: Annual Fee/Report/Map
• From: kit carson county
• To: dmg
• Media Type: D
• Archive: No

~_.~,:
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Kit Carson County
M-1982-067
Bledsoe Pit
June 24, 2005
JUN 2 91005
'Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Kit Carson
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, an
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamafion that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written anneal rennrt and anneal rennrt map to this form- please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Lynda Brownfield
Permittee Name: Kit Carson County
Address: P.O. Box 160
Phone Number:
Fax Number:
If you have additio
below or attach it
Burlington, CO 80807
[phone]
[phone]

nents and/or information that should be provided to the Division, please provide it
form along with your written report and map. Annual Report instructions are
or
Dale
M:1PF.RMITNIAS7ERD000MENI'S1M-AF-04