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• <br />ANNUAL REPORT <br />PERMITTEE NAME: Fred L Korinek <br />PERMIT NO.: M-79-131 <br />OPERATION NAME: Korinek S & G Pit <br />ANNIVERSARY DATE: July 27, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Crowley <br />~ III IIIIIIIIIIIIIIII <br />~~~ ~ ~~ <br />RECEIVED <br />JUL 19 1999 <br />Division of tdineray 8 Geoio9Y <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annuai 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 year, the dates for the beginning of active operations, and [he date <br />active operations ceased for [he year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please rote that an adequntely labeled Wrap that clearly delineates and <br />includes the above elements may suffice for a 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: I r ~ a ~, , ~l ~t re <br />Address: ,~Sa ~ annh o 1 S^ <br />Matn2~l2~ ~D lo. ~(~S a <br />[f 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 tnap and/or <br />written report. <br />~- s~ ~y <br />Si azure of Corporate Officer, or Owner Date <br />Company: KOR IN~k S., ~,.v~'~~?r,/1~~I <br />Phone No.: (`1/4 ) ~S4 - 727/ <br />Fax No.: <br />INSTRUCTIONS ON BACK <br />