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• iii iiiiiiiiiiiii iii ~• <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Kit Carson County <br />PERMIT NO.: M-88-115 <br />OPERATION NAME: Ostrowski Pit <br />ANNIVERSARY DATE: December 19, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Kit Carson <br />t'~ECEIVED <br />UL C 1 ~ 'inn <br />- IJJJ <br />Division of Minerah~ 8 Geology <br />~m~9D <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, an operator <br />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 <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that mt adequately [nbeled mnp thnt clearly delineates and includes the above elements may <br />su~ee for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in [he space <br />provided: <br />Contact Name:~q ~~/'~(U%~ <br />Adddress: BDX ~ ~~ <br />~ ~,~' 1 i lit~D~~6~D`] <br />Company: <br />~r~('~.rst7n ~aiuz~~ <br />Phone No.: (41.q) 3~((a- X139 <br />Fax No.: (']l~ ~~~a' r/ohtq' <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it [o this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />