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~ ; iii iiiiiiiiiiiii iii . ~ ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Kit Carson County <br />PERMIT NO.: M-89-003 <br />OPERATION NAME: Raymond Schulte Pit* <br />ANNNERSARY DATE: April O5, 1999 <br />ANNUAL F'EE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Kit Carson <br />`~'~ ` ~9 <br />aEGE~vE~ <br />c~tP~ 1 ? logy <br />paps+on °t N,~ne~~ts :.. <br />•\ <br />~~j~ <br />6 <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to ihis annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerninE minine disturbance and reclamation update. <br />Please type ~~r print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Nazne:~C~C~ ~r6wI1-~'t e~(',l Company: R-~t CC)t,fi SOI~l Cr7Ull~l) <br />Address:: Fly ~ (p D Phone No.: ( 7 ~ q) ~~~~ ~~~9 <br />Ql~n~ `Sl,t '~ Q~C~C \ ~f Fax No.: ( ~/~ q) 3 ~-/C9 ~ 7a ~ `~ <br />Comments:: /V o C ~'t cC Vi A ~P <br />~J ~ ~.~~~ <br />Signature of Corporate Officer, or Owner <br />~? -/ ~ - <br />Date <br />M: V)N R M LN7 ASTI: R DN1-A F-Pt. <br />