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~:. ~ :...~ ~,,.IIIIIIIIIIIIIIIIIIIII <br />~, <br />ANNUAL REPORT <br />PERMITTEE NAME: Fred L Korinek RE~E~VE[) <br />PERMIT NO.: M-1979-131 ~~~ ~ 9 2000 <br />OPERATION NAME: Korinek S & G Pit ~l~iaionofMi~efalSendGeo-ug~ <br />ANNNERSARY DATE: July 27, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Crowley <br />According~.R_S. 34_32-116(3)(a), each year, on_the_anniversary date of the permit, an operator shall <br />submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br />to occur during the upcoming year, reclamation that will be performed during the conTing year, the <br />dates for the beginning of active operations, and the date active operations ceased for [tte year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />Hole that an adequately labeled mnp that clearly delineates ar~d includes the above elements play <br />sake for a writtet: report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: C'~'~d ~~ ~~/~ ~/~ ~~ <br />Address: SSA ~ O n a / S~ <br />Nlu~ ~ ~~I~a ~l~ S/os~_ <br />Company: Kohl .~ e.K / l^0 u.~ f'ct rtti,.. <br />Phone No.: (7! ~ ) ,2 S5' - 717 / <br />FAX No.: <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepaza[e sheet and attach it to [his report form along with your map and/or written <br />report. <br />xoa il <br />Signature of Corporate Officer, or Owner D t <br />/NSTRUCTIONS ON BACK <br />M ~PERA1nU1ASTERD000MENTSV.1-AF~01 <br />