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<br />ANNUAL REPORT <br />PERMITTEE NAME: EI Paso County DOT <br />PERMIT NO.: M-80-193 <br />OPERATION NAME: Sokol Pit <br />ANNIVERSARY DATE: October 23, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: EI Paso <br />iii iiiiiiiiiiiiiiii <br />1®e~11~ <br />DECEIVED <br />Gt" <br />,swr 4J "'il~ri' . u bv. <br />According to C.R.S. 34-32-116(3)(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 vour revised annual report map and written report to this <br />annual report. Please Wore that un tdecprntely labeled Warp that cleurh delineates cu+cl <br />includes !/re above e/enrertts may sreffice for a writterr report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Con[ac[Name: Richard D. Carlson, P.E. <br />Address: 3460 N. Marksheffel Road <br />Colorado Springs, CO 80922 <br />Company: El Paso County <br />Phone No.: ( 719 ) 520-6860 <br />Fax No.: ( 719 j 520-6878 <br />If there aze 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 />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />