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,/ a III IIIIIIIIIIIII III `(~ ~~1.~ ~3 ~ <br />ANNUAL REPORT ~~'~~~~a ~/ <br />PERMITTEE NAME: Kiowa County <br />PERMIT NO.: M-85-173 'i ~~~ ~ /= ~IJJJ1 <br />OPERATION NAME: Rother Gravel Pit ~+vis.on of fvimerals & ~eolog:. <br />ANNIVERSARY DATE: February 03, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Kiowa <br />Please attach to this annual report yourrevise.d annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concernin¢ minine disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />'UPDATED MAP ATTACHED <br />^ CONDfI'IONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Mike Splitter <br />Address:: Kiowa Count <br />PO Box 591 <br />Company: Kiowa County <br />Phone No.: (719 ) 438-5810 <br />Fax No.: (719 ) 438-5327 <br />Eads, CO 81036 <br />Comnicnts: <br />' p,("i~~C Adm. Asst. Aide <br />Signature of Corporate Ofticer, or Owner <br />01/28/99 <br />Date <br />M:~DNR A7 LN1 ASTER DU1-AF-Pt <br />