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%~ <br />~~ ~ + III IIIIIIIIIIIIIIII <br />999 <br />ANNUAL REPORT <br />PERMTTTEE NAME: Kiowa County <br />PERMIT NO.: M-83-112 <br />OPERATION NAME: Murdock Gravel Pit* <br />ANNNERSARY DATE: August 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Kiowa <br />r <br />® ~' <br />~ ~~~~~~ <br />~ECEIVED <br />pUG 0 2 1999 <br />,ivision of Minerab 6 Geology <br />According to C.R.S. 34-32-1 l6(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 year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that nn adequately labeled map tlrat clearly delineates and <br />includes tyre nbove elements may suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: dike snlitter <br />Address: r0 Box 100 <br />Eads. CO 81036 <br />Company: Kiowa County <br />Phone No.: (719 ) 438-5810 <br />Fax No.: (719 ) 438-5327 <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 />ignature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />