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iiiiiiuiii <br /> �IJ ANNUAL FEE and REPORT REOUEST RECEIVED <br /> MAR 0 2 2001 <br /> PERMITTEE NAME: Midwestern Farms Resource <br /> Division of Minerals and Geology <br /> PERMIT NO.: M-1993-059 <br /> OPERATION NAME: Midwestern Farms <br /> ANNIVERSARY DATE: March 4,2001 <br /> ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br /> COUNTY: Prowers <br /> 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 <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land; reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br /> beginning of active operations, and the date•active operations ceased for the year, if any.... <br /> Please attach your revised written annual report sn4 annual report map to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: James H. Kirkland <br /> Permittee Name: Midwestern Farms Resource <br /> Address: P.O. Box 580 <br /> Rye, CO 81069 <br /> Phone Number: (719)489-3385 <br /> Fax Number: (719)489-2268 <br /> If you have additional comments and/or information that should be provided to the Division, please provide it <br /> "w or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. % <br /> I <br /> �Sigtiat 1 e f orporate O"Owner <br /> 9 L)( - <br /> Date r <br /> M TERA1rIN1ASTERDOCUMENTS�M-AF-01 <br />