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~` <br /> <br />~~~ ~~~~~~~~~~~~~~~I <br />ANNUAL REPORT <br />PERMITTEE NAME: Kiowa County <br />PERMIT NO.: M-1983-119 <br />OPERATION NAME: Chivington Grazing <br />ANNNERSARY DATE: August 25, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Kiowa <br />eK *I~Fs4a~ , ~ iSl ` <br />• (~dl a~F•--) <br />RECEIVED <br />AUG 2 1 2000 <br />Division of Minerals and Gettlogy <br />According [o C.R.S. 34-32-1 l6(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 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 yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the yeaz, if any. <br />Please attach vour revised annual resort map and written report to this annual resort. <br />Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may since for a written report. <br />Please type of print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: pt~Y1P.t~~T7(7) K~tiPkS <br />Address: ~ n.~ ~ c3 t c- ~. <br />P ~ ~~c 1~ <br />~sl s (~~ l D~3Co <br />Company: ~~ A U J a, ~0(.IYL'~y <br />Phone No.: (~ L~) ~ 3 g-~SRL(~JJ <br />FAX No.:{{~,(~ l~) y ~~ g -cS,3~"7 <br />e-mail: ril0(1)c~Oi-c ~.I"t2,. tnp,~ <br />~~ <br />If there are additional comments and/or information [hat should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />~+~ ~-V <br />Sign ture of Corporate Offic r, or O er Date <br />INSTRUCTIONS ON BACK <br />M ~PERMRNIASTERDOCUAfENT5V.I-AF-W <br />