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t. . <br />~ III 1111111 IIIII III ~ <br />~~ <br />ANNUAL REPORT , <br />'~ <br />0 `DECEIVED <br />PERMI7TEE NAME: Bent County <br />PERMIT NO.: M-91-086 SEN ) 3 1999 <br />OPERA'T'ION NAME: Earl-Hoffman-Reyher ; :~n or Mmerab & Geology <br />A.NNIVI?RSARY DATE: October 03,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Bent <br />According to C.R.S. 34-32-116(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 yeaz, 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 yeaz, if any. <br />Please attach vote- revised annual report map end written report to this <br />annual rC~~Ort. Pleu.~e nntc thru rur ude~yuurr h lubelce! nm/i that clrur'Ic r!e lrrrc,urc ,rtal <br />inclr«les the above elements Wren .~'«llier %rrr cr a ritten rc•purt. <br />Please tape or print the curruu contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Virley Burkhalter <br />Address: P.O. Box 350 <br />Las Animas, Co. 81054 <br />Company Bent County <br />Phone No.: (719 )456-2223 <br />Fae No.: (719 ) 456-0375 <br />If there are additional comments and/or information that should be provided [o 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 />(~,.~~ <br />Signa[ut• of Corporate Officer, or Owner <br />8/31/99 <br />Date <br />INSTRUCTIONS ON BACK <br /> <br />