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REP31751
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REP31751
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Entry Properties
Last modified
8/25/2016 12:07:59 AM
Creation date
11/27/2007 6:00:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991075
IBM Index Class Name
Report
Doc Date
10/22/2003
Doc Name
2003 Annual Report and Fee
From
Kiowa County
To
DMG
Permit Index Doc Type
Annual Fee / Report
Media Type
D
Archive
No
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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />I{iowa County <br />M-1991-075 <br />Barnes Pit <br />November 12, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Kiowa <br />~~C~~~~~ <br />OCT 2 ~ ZDD3 <br />tlivisian of Minerals and Geolo~~~ <br />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 <br />- - -operator -shalt-submit-the anmtal-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 attaeh ynnr revised written annual rennrt and annual re nrn t man to this form- Please note fhat an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee Contact: Dick McDaniel <br />Permittee Name: Kiowa County <br />Address: P.O. Box 100 <br />Eads, CO 81036 <br />Rhone-Number:---(719)438-5810- _ - - _--- - ---=--'--" _---"- "----- <br />Fax Number: (719) 438-5327 <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 form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M:\PERM nVv7ASTER DOCUM ENTS\M-AF-04 <br />
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