2005-06-29_REPORT - M1982098

• Permit No: M1982098
• IBM Index Class Name: Report
• Doc Date: 6/29/2005
• Doc Name: Annual Fee/Report/Map
• From: kit carson county
• To: dmg
• Media Type: D
• Archive: No

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JUN Z g 1005
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Kit Carson County
M-1982-098
Beattie Pit #1
June 24, 2005
Division of Minerals and Ceologv
$281.00 (Due on or before your anniversary date)
Kit Carson
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map showing the extent of current dishubances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anmral report and annual report map to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes: l Q~ 1 /~ ~~7 ~
Permittee Contact: Lynda Brownfield V `l1 ~1 ~ ~I / ~lC/ l/l~
Permittee Name: Kit Carson County
Address: P.O. Box 160
Phone Number:
Fax Number:
Burlington, CO 80807
[phone]-'
[phone]
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If you have additional comments and/or information that should be provided to the Division, please provide it
below pr attach it t~thiTS form along with your written report and map. Annual Report instructions are
Date
M:IPERMITVvfASTERDOCUMEMSVN-AF-04