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i <br />ANNUAL REPORT <br />PERMITTEE NAME: ICiowa County <br />PERMIT NO.: M-1990-148 <br />OPERATION NAME: Gray Pit <br />ANNIVERSARY DATE: February 5, 2000 <br />ANNUAL. FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUN"]'Y: Kiowa <br />•\~~o III IIIIIIIIIIIIIIII <br />PSG 1~~~~0 ~ <br />~pN ~&G~ <br />~-•~ r -• r~ rrgt <br />ILY w r/ 4~ <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 alttach your revised annual report map and written report to this annual report. <br />Please role that art ndeyuately labeled Wrap that clearly delineates and includes the chore <br />elements 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 />Conrut N;unc Rick Steady <br />Address: Kiowa County <br />PO Box 100 <br />Cnntirtnv: Kiowa County <br />PhoneNo.:(7t4 ) 44R-SA70 <br />FAX No.: ( 719 ) 438-5327 <br />Eads, CO 81036 <br />If there are 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 />Stgnature of~i~ Officer, or Owner Da e <br />INSTRUCTIONS ON BACK <br />M NERA717V.7ASTI:RD000MENfSN1-AF-Oi <br />