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..~ <br />~II II~II~~I~~I~~ II~ <br />sss <br />ANNUAL REPORT <br />PERMITTEE NAME: I{iowa County <br />PERMIT NO.: M-83-119 <br />OPERATION NAME: Chivington Grazing <br />ANNNERSARY DATE: August 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: I{iowa <br /> <br />Pa 111 <br />gF~EiVED <br />IUt_ 19 1998 <br />~ of Minerals & Geology <br />According to C.R.S. 34-32-1 lb(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 [he date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please Wore that an adequately labeled map dtat clearly delineates and <br />includes the above 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: Rodney Hopkins <br />Address: PO Box 100 <br />Eads, CO 81036 <br />Company: Kiowa County <br />Phone No.:( 719 ) 438-5810 <br />Fax No.: ( 719 ) 438-5327 <br />If there aze additional comments and/or information [hat should be provided to the Division, <br />please provide it on a sepazate sheet and attach it to this report form along with your map and/or <br />written report. <br />-~ /~~ 9 <br />Signature of C rporate fficer, or Owner Date <br />INSTRUCTIONS ON BACK <br />