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i! ~~ <br />111E_1LfE''F_ and RF 1'OItl' RF:(!I Fal' <br />I'I•.F:\1PI~Il~I: NAh41•: 11'cb~tcr Sand & Grovel , - ''t•' <br />''!hY <br />PLRMhI Nl).: 3 ! ?~ <br />1F-I/>x1-235 <br />~ <br />OI'[R:1'llON N.4b11.: •"'~'~~Ir ~,~,,,r „, <br />N'etit'fenncssec <br /> ~;t7:.rr <br />ANNI\'I•.RSAK1' I):1 fh: :\pril 22, 211(Ib <br />:1NM 1.41 PL•I Ul'I.' ~6xx.00 (1)ue un or before your annirervan dote) <br />l'O1; N'I'1'. Lake <br />According to ('. K.S. ;4.32.5• I IG or ('.R.S. 34-?_'-I 16, each year, on the annncrsan date of the pcrnul, an operator <br />shall suhnut thr annual fw, a report and Harp sholcrng thr extent of currant dtsturh:mcrs to alfccted land. <br />rcclontauon accomph~hcd to date and dunng the prcccdmg year, nely dtsutrf»utces that arc unhcgtatal In /xcur <br />during Ihr ulxumtng year, reclam:Hum that actll be pcrtitnned dunng the coming yrar, the dote. for the beguuung <br />of active operations, and the lure ucin•c a{ICraGons ccasrd I'or the year. it'any. <br />Vtnnan ullurh aunt nR'{and NrtitPll :111 fllnll rl•1111 rr 31IIII an mull rcnll rt Illall t11 this form. 1'!N(rSC Harr that Un <br />urleyuurrll• luhelyd nrnp flint c•!c'ur/r d~lieeutr~ unel inrlurlrs Ihr olxrve 1+lcnu'rus nuw suQkr frrr a tar•ittrrr report. <br />IAcisian record. indic:ttc the lirllowing pernnttec contact mtixmauon. Please vcnl) and make any neccssan <br />ch:mgcs: <br />I'cnnitter Contact: I)arvl K. N'chstcr <br />Pernuttec Nante: ~Vchster S:utd R (travel <br />Address: P.O. Hui 5417(W <br />Grand I'r:unc, I \ ?>o~s- ~ 'u.l <br />I'ImncNumher: 1719)48G4)•t2' ~I'rU7!/U15 Tv L4>L~~oy'Sg~7 <br />hax Number: ('1191 4x6•t}427 _ _ _ <br />It you have addma»tal comment, and~or mlitmwtum that should be provutcd to the I)tvision, ple:ue provide rt <br />heloaa nr anarh tt to tlu, furnt along I~ uh your tvntten report and map. :\nnual I(elxtrt imtructions ore cncloxd. <br />Slgn arc ('r+rl'l,ratc Otlicer. )wncr. or Designee <br />21~~ ~~_ Zoo ~ - - <br />I):Ite <br />