Laserfiche WebLink
,.. <br />C~ <br />999 <br />ANNUAL REPORT <br />PERM[TTEE NAME: Phillips County <br />PERM fI' NO.: M-1990-116 <br />OPERATION NAME: Kennedy Pit <br />ANNIVERSARY DATE: October 26, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUN'T'Y: Phillips <br />c~~c~~o~ ~a~ <br />L ,y L~~ <br />~~~ 9 ~ 2DDD <br />Divisiars o0 P_9inerals and Geolog y <br />According to C.R.S. 34-32-I 16(3)(a), each yeaz, on [he 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 aze 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 resort mao and written report to this annual resort. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may suffice for a written report. <br />Please rtpe or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: Randy Schafer Company: Phillips County <br />Address: 221 S. Interocean Phone No.: ( 970 ) 854-3778 <br />Holyoke, CO 80734 FAX No.: ( 870 ) 854-3811 <br />e-mail: <br />If there are 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 />~~ c~ 9~.3 Q (~ <br />Signature Corporal Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M. W ERMnVv1ASTEa DOCOMEMSN7-AF-bl <br />