REP29350

• Permit No: M1982079
• IBM Index Class Name: Report
• Doc Date: 7/19/2007
• Doc Name: Annual Report
• From: Kit Carson County
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
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ANNUAL FEE and REPORT REQUEST
~ Kit Carson County
1982-079
Brenner Pit
June 24, 2007
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$$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 disturban_ces_to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation 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 annual report and annual resort man to this form. The Annual
Report & Fee requirement is not met until we have received the following components: fee, report, and
associated map. If no new disturbances or reclamation have occurred during the previous year and no
new changes to the previous year's map are necessary, then no new map is required, provided that the
Operator shall state this in the Annual Report. 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: ~j ~ ~n
Petmittee Contact: rown teld ~!~ tW L YP~~ ~L
Petmittee Name:
Address:
Kit Carson County
P.O. Box 160
Burlington, CO 80807
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
~~ ~ ~ ~
Signature of Corporate Officer, caner, or Designee
Date
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