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.~ <br /> <br />~II ~~~IIIII~I~~~ II~ <br />ANNUAL REPORT <br /> <br />PERMITTEE NAME: Elbert County <br />PERMIT NO.: M83130 <br />OPERATION NAME: West Pit <br />ANNIVERSARY DATE: September 22, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Elbert <br />~a~r <br />'~~'~,, <br />~~ <br />~: <br />. ~ a 4LG~y <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note tltat an adequately labeled mnp that clearly delineates and includes the above elements may <br />suffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Pat Bollig Company: Elbert Countv Government <br />Address: P.O. Box 7 Phone No.:~303) 621-3132 <br />Kiowa, CO 80117 Fax No.:(303) 621-3166 <br />If there aze additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach i[ to this report form along with your map and/or written <br />repots. <br />Sign e of Corporate Officer, or Owner Date <br />John Dunn, Chairman <br />INSTRUCT/ONS DN BACK <br />