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.. '~ ' ~ III I II I II I II IIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Logan County <br />PERMIT NO.: M-78-146 r~ECENEd <br />OPERATION NAME: Stephens Pit MAR U 8 2000 <br />ANidP/ERSARY DATE: October Ol, 1999 ~.v~cnotMlnetaYe&Geolo9Y <br />ANidIJAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Logan <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 yeaz, new <br />disttrbances that are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />acti~~e operations ceased for the year, if any. <br />Ple,~se attach your revised annual report map and written report to this <br />annual report. Please note that an adequately labeled Wrap that cleurly delineates artd <br />incLtdes the above e[entents may suffice for a 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: ~2 v` S I -^D h S6 h <br />Addre1ss: ~ ~ Iyl ~' ~ Jl~jt/~ QC.f <br />Company: L-0 ~/ C(, h C O r,<.vt 7'~/ <br />Phone No.: (q7 0) g~a ' ~ ~ $8 <br />If there are additional comments and/or information that 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 />Signature of Corporate Officer, or Owner Dat~ <br />INSTRUCTIONS ON BACK <br />