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• iii i~iiiiiiiiiu iii <br />a- <br />ANNUAL REPORT <br />PERMITTEE NAME: Don Kehn Construction, Inc. <br />PERMIT td0.: M-1989-056 <br />OPERATION NAME: Timnath Pit <br />ANNNER.SARY DATE: Fehruary 24, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Latimer <br />• <br /> <br />`CEIVED <br />F E R 16 2000 <br />..,.~ra~ gGeology <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual resort maa and written report to this annual resort. Please <br />note that nr,. adeyaately labeled map thnt clearly delineates aut inckrdes the above elements may <br />suffice for u' written report. <br />Please type or print the current contact person's name, mailing address, and phone nutnber in the space <br />provided: <br />Contact Natne: Dan Kehn Company: Don Kehn Construction, Inc. <br />Address:_6550 So. County Road 5 Phone No.: ( 970 ) 226-4111 <br />Ft, Collins, CO 80528 FAX No.:_( 970 ) 226-4115 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on. a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner <br />a- ~i-oo <br />Date <br />INSTRUCTIONS ON BACK <br />M:~PERM I"I V.IASTEF DOCUMEM'SN1-AF-01 <br />