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•' ~ RECEIVED <br />SEP 0 8 2000 <br />Division of Minerals and Geology <br />III IIIIIIIIIIIII III <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Sedgwick County <br />PERMIT NO.: M-1997-061 <br />OPERATION NAME: Kinnie Gravel Pit <br />ANNNERSARY DATE: September 5, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Sedgwick <br />e IC -i*o~ 3 <br />ti;a$ I ° <br />According to C.R.S. 34-32-116(3j(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that 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 attach your revised annual report map and written report to this annual report. <br />Please note dint nn ndequntely labeled map dial clearly de[inentes and incG~des the above <br />elements may suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: /laN_~ /~e~q u: s 'N Company;~~c~,: c ~ ~, ~ ate( d- ~,.: ~). ~ <br />Address: ~a3 So~.~-+, C~~a~- PhoneNo.: (9~0 1 ~75~- 3 5 "7L <br />Ti,t ~° s ~~ r s ~'v, 80737 FAX No.: (~i'7o) i~7c/- ,ASS-~ <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />ignature o Corporate fficer, or Owner <br />~~ 3a - v ~ <br />Date <br />INSTRUCTIONS ON BACK <br />M?PERMITMASTER DOCUMENTSU7 AF-OJ <br />