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<br />~..( ..I GFF' aml el•'I'OItr (:F'(~(' '" RECEI~i~p <br />PLKMITI Ira,: bA;\Ilf' Kio Rbmco ('aunty ~r ~ ~ <br />I'IiItMII NO.: ~ )1-IOObOJ9 DlvtnonofMinorurrnd~aep)• <br />UI'f,K:\ IION N:\Mli. (luinn Draw Gravel I'it <br />:\Vbl\'I.R5AK1' I)A'I I.: )ta+ 8, ?Opb <br />ANNI iAL PGI{ I)l; lr X281.(1(1 (Ihte nn or before your :uuliversary dale) <br />('OI `bl ti': Nio Blanco <br />Accurdmg to ('-R.S. 3d•32.5-116 or l'.K.S. 3J-32.116, each year. on the anniversary, date ol'thc permit. tin <br />operator hall •+uhmit the annual Fce, a report and map shnwutg Ihr e~tcnt of torrent drslurbanec, A+ alTccted <br />land, rc.lnutai,on aelUOlplhhld w date :mJ donne the precedutg yarr. ne++ di,twh;+nies that arc annc:pated to <br />occur dunni~ the ulaoming year. nclantauun th;u will hr per!i+rmrd durm~ the antnng year, the dales Fitt the <br />hcc~nnntt of urtnc operation<. and the date actitc oprr•ui~+n. cr;ncd tar the +rar. rfanv. <br />1'lcaie attach sour r'vised w tiara vnnubl rt rulrt s_nd anm I r trnrl m t>t to rhr~ form /'IC<n'e nult'7/!tlt tl/t <br />udcya~rtrh l,rbrled nrul~ that ch'urlr drlinrrlte.+' and includes the ubrn•r rlemrna roar .crrlJicr )irr a uvitlen <br />r, /furl. <br />Ihvrsutn records ntdtcate the li+llawing pcnniUCC contact inti+mmtinn. I'Icasc venly and make any nccessun• <br />changes: <br />Permitter (untael: Uavid P. \torlan <br />I'crmitlcc Nmne: Ku+ Blanco ('ounty' _ - <br />Addrcss: 570 2nd SI. <br />Phone bomber. 197(11 818.9590 <br />I ;ts Vumlxr: 197(1) 878-}396 <br />IF you lutve additional comments and'or mlbnnanun That should be proctdcd to the Uivisron, plrasc pruvrde u <br />Ix low ur :roach a to this Form along umh your untten report and rnap. :1nnu:rl Kcport tnstnlcttons arc <br />enclosed, <br />/yJ <br />tiignat~F 'oryx+n~()It i~~n«orl)est~mcc <br />~//o%G <br />Ilalr -- <br />