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~~_ _ • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Kiowa County <br />PERMIT NO.: M-1983-109 <br />OPERATION NAME: Aldrich Gravel Pit <br />ANNIVERSARY DATE: August 25, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $281.00 <br />COUNTY: Kiowa <br />• dK ~138G~-~ I ~'a-S(~' <br />RECEIVED <br />AUG 2 1 2000 <br />Division of Minerals and Geology <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 annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished [o date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note dtnt nn adequately labeled map thnt clenrly delineates and includes the above <br />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: ~ 1 ' ~ ~ n ~l <br />Address: 14 n~ ~~~t?~ <br />P v $~n ~rr~ <br />~r1r~Q~.(ni7 $~t7,~~ <br />Company: I, <br />Phone No.: - <br />FAX No.: P7 ~a l~.`3R-,r'i,~,~-7 <br />e-mail: ~n~,J~~. e F'ia.. ru~~ <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 [his report form along with your map and/or <br />written report. <br />Sig ture of Corpora Offic , or Owner Date <br />INSTRUCTIONS ON BACX <br />M: WERA711V.tASTERD000M1IEMSNI-AF-Pt <br />