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<br />~i <br />AN ~~~ Illlllllllllllll <br />PERMITTEE NAME: Logan County <br />PERMIT NO.: M-93-069 <br />OPERATION NAME:', Lindstrom Gravel Pit <br />ANNNERSARY DATE: November 26, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Logan <br />~~R 0 8 20p0 y <br />M~o`Mtpeca~s ~~yoW9 <br />0~`n5 <br />According to C.R.S: 34-32.5-116(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 year, <br />if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note thnt an ndequntely lnbeled map thnt clenrly deli~teates and includes the above elements mny <br />since 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 />Ken Strohson <br />Logan County Planning <br />Contact Name: „~ .._~_ ~ Company: e1~6~zcti~~T~- ~ <br />~-ivra'nr~freet <br />Adddress: Phone No.: ( ) <br />ter mg, ~6-5~2~T~ <br />Fax No.: ( ) <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 />~Q <br />tgnature of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />