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--- - - - -- -- ~ ~~L <br />ANVI'AI. Fi'F •nd RFPOk7 RPOI'a'C'r • rCC.~~ V <br />PERMfTTFf: NAME: Nkahueser C'oastractbn & F:rcrvatlag C'a ~ ~ ( <br />PEKMff NO.: M-2001-018 ~nOtl of NNrrllr.nr~f <br />OPERATION NAME: Sehornaeher 1I <br />ANNIVERSARY DATE: April l9, 2004 <br />ANNI,'AL FEE DUE. 5281.00 (Due oa or before your andversary lists) <br />COI,^IIY: lagsa <br />According to C.K.S. 3432.3-I 16 nr C.R.S. 34J2-I IG, each yrar, un the anmr'crsary dote of the prrmn, ail operator <br />shall stFmit tM annual' fee, i rcp6n aiffitF,i~ ihbwufd t1!r'rxRnr'tit-.urrem-shstt>rhmces-ttraffected land.-- <br />reclamauon accomplis;Md to dart and dunng the preceduig year, xw disttfrbarnes that are anticipated to occur <br />during the upcoming year, reclmnatron that wall be pfrfortncd dunng the coming year, the dates for the bcgmmng <br />of stoic opmuons, and the date actor operations ceased for the year, if any. <br />Plrsrr flfsrh vnnr rrvt~...! wriltrn an n>L r -rt a d nn I [ennrt map 1 thl fnrnt P(r6Te nOft that Un <br />odryuarels labrled map Thar rlearty drlineares and ofcludre rhr uho~r elemrnrs may wQce jot a written rrpnrr. <br />Ulvlston records indicate the following pennntlx conUCt information. Please verify and make any naecury <br />changes: <br />Perttittce Contact Keith Ntcnhtuxr _ <br />Pennutce Namc: Nienhuexr ConsWCnon & Eacavaung Co <br />Address: IS00 IOth Ave. <br />P.O, Ron 173 <br />Sitlncy, NE 69162 , <br />Ptwnc Number: (308) 254-3453 <br />FaxVumber: (303)2143453 <br />if you have adduionel comments and/or mformauan that should be prortdcd w the Drvtsion, please pruvnlc tt <br />below or attach it to this form along with your wnttrn report and map. Annual Report instrucnotu are ercloxd. <br />-- .,~«~ O -_ _~ <br />Si furc of Curporntc pflicer, (.)umta, or Iksignee <br />_-~ -E- 0~ <br />Date <br />~S <br />