REP25161

• Permit No: M1990148
• IBM Index Class Name: Report
• Doc Date: 1/31/2003
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
I{iowa County
M-1990-148
Gray Pit
February 5, 2003
13ECEIVE®
JAN 3 :1 2003
Division of Minerals and Gaolagy
$281.00 (Due on or before your anniversary date)
Kiowa
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an
operator-shall-submit-ihe'annual-fee,-a report-and'map-showing the extent'ofcurrent disturbances to affected-
land;-reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach y;Qnr revised written annnal re~prt and annual re nn rt map to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rick Spady
Permittee Name: Kiowa County
Address: P.O. Box 100
Eads, CO 81036
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
~..t~,~.~i Get..
Signature of Corporate Officer, Owner, or Designee
i-a9-a3
Dale
M:IPERMITMASTERD000MEMSVN-AF-04