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• • iii iiiiiiu <br /> ANNUAL REPORT <br /> PERMPTTEE NAME: Prowers County RECEIVED <br /> PERMIT NO.: M1977387 ) U �Q <br /> OPERATION NAME: Bates Pit Division of Minerals&Geology <br /> ANNIVERSARY DATE: December 1, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Prowers <br /> According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator <br /> shall submit the annual 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 <br /> anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br /> year, the dates for the beginning of active operations, and the date active operations ceased for the <br /> year, if any. <br /> Please attach your revised annual report map and written report to this annual report. Please <br /> note that an adequately labeled map that clearly delineates and includes the above elements may <br /> suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the space <br /> provided: <br /> Contact Name: TONY GARCIA Company: PROWERS COUNTY <br /> Address: P. 0. BOX 1046 Phone No.: ( 719 ) 537-6631 <br /> LAMAR, CO 81052 Fax No.: ( 719 ) 537-6357 <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report form along with your map and/or written <br /> report. <br /> FEBRUARY 01 , 2000 <br /> Signature of Corporate Officer, or Owner Date <br /> INSTRUCTIONS ON BACK <br />