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;_ <br />• III'I~~II~I~~I~~ ~II <br />999 <br />.ANNUAL REPORT <br />PERMITTEE NAME: Prowers County <br />PERMIT NO.: M-84-140 <br />OPERATION NAME: Walker Pit ]North <br />ANNNERSARY DATE: August 31, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Prowers <br />1°~3~81 <br />QED <br />Au~ 19 1999 <br />Division of ineray & Geology <br />According to C.R.S. 34-32-1 16(3)(a), 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 curren disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, n w <br />disturbances that are anticipated to occur during the upcoming year, reclamation th twill be <br />performed during the coming year, [he dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />8nnual report. Pease note that an adequately labeled map that clearly delineates ar:d <br />includes the above elements may suffice 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: DONALD KOEHN Company: PROWERS COU Y <br />Address: 109 E. SHERMAN ST. Phone No.: 719 336-5 36 <br />LAMAR, CO 81052 Fax No.: 719 336- 633 <br />L` there are additional comments and/or information that should be provided to the [vision; <br />please provide it on a separate sheet and attach it to this report form along with you map and/or <br />written report. <br />0.~ <br />Signature of Corporate Officer, or Owner <br />AUGUST 18, 1999 <br />Date <br />INSTRUCTIONS ON BACK <br />