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• II I I I~ I I~I I~ ~~~~ II~ <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: ICiowa County <br />PERMIT NO.: M-83-116 <br />OPERATION NAME: Gentz Gravel Pit <br />ANNNERSARY DATE: August 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Prowess <br /> <br />1'AII! <br />~"~~Cit~V~u <br />JUL i ~i 1999 <br />,:_ an of fA~nerals & Geology <br />According to C.R.S. 34-32-1 I6(3)(a), each yeaz, 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 />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 yeaz, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note that an adequately lnbe[ed mup that clearly delinentes and <br />includes the nbove elements may suffice for a wriden 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 Company: Kiowa County <br />Address: PO Box 100 Phone No.: (719 ) 438-5810 <br />Eads, CO 81036 Fax No.:(719 )438-5327 <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 re ort form along with your map and/or <br />written report. ~/O <br />- ~ ~ ~ y~q9 <br />Signature of Co orate Of cer, or Owner Date <br />INSTRUCTIONS ON BACK <br />