Laserfiche WebLink
Sip 23 99 12:15p Ky~brlllllllllllllllllll t253~5r-Saa9 p.a <br />RECEIVED <br />ANNUAL REPORT - . ~ 135 <br />Civ~scn ct M14n?ray 8 Geology <br />PEKML7"I-EE NAh1E: LKA International Inc, <br />PERMITNO.. ~ m_ ~~ ~°f ~ <br />OPERATION tiAME:~ ~o(~P yl dal ~ N o P l~ r/II r P <br />ANNNERSARY DATE: October 01, 1999 '.~'" <br />ANNUAL FEE DUb: ON ANNIVERSARY DAT)v': $450.00 <br />COUNTY: Hinsdale <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the pcrtnit, an <br />operator shall submit the annttelfee, a report and map showing the extent of current disturbances <br />to affected land, reclamation atxomplistxd to date and during the preceding year. new' <br />disturbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations. and the date <br />xtive operations ceased for the yeaz, if any. <br />Please attach vour revised annual report tnaD and written resort to this <br />annual reps. Prase note that as adequately labeled map than clearly delinearra anti <br />ir;ctuder the above elerncnts may suffice (or a written report <br />Please type or print the current contact person's name, mailing address, and phune number in the <br />space provided: <br />Contact Name:(! A~~ <br />Addrrss:~~__~~O` 'inf.//~.11' <br />L• O ~. ~ , ~ • ~ 4~ ./ <br />~~ ~_~ <br />Company:~~ /Y1//G .fir C <br />Phone No.:~20 1 ~y- 0 ~C') <br />Fax No.: ( ) SA rrt P <br />if there are additional comments and/or information that should be provided to the llivisiwr, <br />please provide it on a separate sheet and attat:h it to this report form along with your map and/or <br />of Corporate Officer, or Owner <br />/;;:1' ~ ~ <br />Date <br />INSTRUCTIONS ON BACK <br />