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<br />III IIIIIIIIIIIIIIII ~$ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Prowers County <br />PERMIT NO.: M-1984-140 R <br />OPERATION NAME: Walker Pit North <br />~a-$1 oa <br />,~ oJ7 <br />VED <br />.mil <br />ANNNERSARY DATE: August 31, 2000 AUG 14 200p <br />ANNUAL FEE DUE ON ANNNE}2SARY DATE: $281.00 Division of Min rats and Geology <br />COUNTY: Prowers <br />According to C.R.S. 34-32-116(3)(x), each yeaz, on the anniversary date of the pe it, an <br />operator shall submit the annual fee, a report and map showing the extent of curve t disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, ew <br />disturbances that aze anticipated to occur during the upcoming year, reclamation t t will be <br />performed during the coming year, the dates for the beginning of active operations and the date <br />active operations ceased for the year, if any. <br />Please note that nn udequntely labeled mnp that clenrly delineates and includes th~ above <br />elements mny since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone umber in the <br />space provided: <br />Contact Name o~, ~~ a k t~ Company: ~ o wsy~ S Go . <br />Address: /S67 S' ~j~,-., S~o Phone No.: 7/9 (v-- SS 6 <br />{vo w.[c .- y Go . ~ / a ~ ~ FAX No.: ( ( ~ 3 ^ 9 ~3 <br />e-mail: <br />If there are additional comments and/or information that should be provided to [he~ivision, <br />please provide it on a separate sheet and attach it to this report form along with yo map and/or <br />written report. <br />Signature of Corporate Officer, or Owner <br />~-ib-oa <br />Date <br />INSTRUCTIONS ON BACK <br />AI IPER M EMIASTER DOC U M ENTSV.7-AF-Ut <br />