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00 <br /> III IIIIIIIIIIIIIIII <br /> RECEIVED <br /> ANNUAL FEE and REPORT REQUEST <br /> DEC 15 2000 <br /> PERMITTEE NAME: Morgan County �ivision of Minerals and Geology <br /> PERMIT NO.: <br /> OPERATION NAME: Kula Gravel Pit <br /> ANNIVERSARY DATE: December 18,2000 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Morgan <br /> According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116. each year, on the anniversary la of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current dirt rbances to affected <br /> land, reclamation accomplished to date and during the preceding year, new disturbances tft tare anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the coming ye r, the dates for the <br /> beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report man to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may s�ti face for a written <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and ake any necessary <br /> changes: <br /> Permittee Contact: Joe B. Bahazar This pit will be declaimed in <br /> Permittee Name: Morgan County year 2001 <br /> Address: 17303 CR S <br /> Ft Morgan, CO 80701 <br /> Phone Number: (970) 867-9446 <br /> Fax Number: (970) 867-5264 <br /> If you have additional comments and/or information that should be provided to the Divisio i, please provide it <br /> below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. <br /> � I <br /> i nature of Corporate Of Ic r Owner <br /> 12 — 14 — 2000 <br /> Date <br /> M'\PEPMIDMASTEP-DOCUMENTSW-AF-0a <br />