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iii iiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />PERMTI'TEE NAME: Kit Carson County <br />PERMfI' NO.: M-91-071 <br />OPERATION NAME: Bohnen Pit <br />ANNIVERSARY DATE: September 06, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUN'T'Y: Kit Carson <br />~„ ._„ J <br />,~ <br />~,E,~Eo <br />a~G 13 199c <br />•.can & <br />Actording to C.R.S. 34-32-ll6(3)(a), each yeaz, 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 <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for [he year, if any. <br />Please attach your revised annual reuort map and written resort to this <br />annual report. Please note that an adequately labeled map that clenrly delineates and <br />inckedes• the above elements mny suffrce for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: L1I}'LC~CL (-5rG[L1.7'~tp ~c~ Company: K1~/L007t ~(~Z.t/Z~(~ <br />Address: ~O P~DX ~ (~ O Phone No.: ( r/ l q) ~~L([o - ~~39 J <br />fill r~ /[cI~ ~ ~Q~~7 Fax No.: (r/l Q) 3~~ - 7a~U.~ <br />If there .are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />