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• f ~ III IIIIIIIII IIII'll <br />• 999 • <br />ANNUAL REPORT <br />PERMITTEE NAME: Logan County <br />PERMIT NO.: M-83-187 <br />OPERATION NAME: Kues Gravel Pit ~~CE~~~~ <br />ANNNERSARY DATE: November 08,1999 MAR 0 g 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 .;ion of Minerals & Geology <br />COUNTY: Logan <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 tee, 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 />yeaz, the dates for [he 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 t/rat nn adequately lnbeled snap that clearly delinentes and incdtdes the nbove 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 />Contact Name: 1~ ~ vv Sft"G f't SD h Company: I~~CI ~ h C-~ appt f~ <br />Adddress: ?i /,~ I71 Gi ti h Sfif e ~ Phone No.: (~) Saa - OBOC~~~ <br />Sty-~G~ ~ G C 8 ~ D 7~ / Fax No.: ~~tio) Sa-a - ~/ol~ <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 />~dC/ <br />Si nature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />