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<br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />f <br />ANN U AL FEE an REPORT REQUEST <br />Kit Carson County <br />VM-1989-004 <br />Raymond Duell Pit <br />C?FED <br />MAR 16 NO <br />n, <br />ivisian Mining ®ta d Safety <br />April 26, 2009 <br />$$323.00 (Due on or before your anniversary date) <br />Kit Carson <br />- - According to C.R.-S: 34-32,5-11.6 or C.R.S._34-32=1 1.6, 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 to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Carol A. Fritz <br />Permittee Name: Kit Carson County <br />Address: P.O. Box 160 <br />Burlington, CO 80807 <br />Phone Number: (719) 346-8139 <br />Fax Number: (719) 346-7242 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this along with your written report and map. Annual Report instructions are <br />enclosed. <br />r <br />re of Corpor icer, Owner, or Designee <br />-V1 -o ` <br />Date <br />M: \PERMITIMASTERDOCLIMENT S\M-AF-04