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.~ <br />~ iii iiiiiiiiiiiiiiii <br />ANNUAL REPORT <br />PERMITTEE NAME: Sedgwick County <br />PERMIT NO.: M-97-Otil <br />OPERATION NAME: I';innie Gravel Pit <br />ANNNERSARY DATE: September O5, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Sedgwick <br />• <br />1'1111 <br />RECEIVED <br />~iUi 2 2 `~°~~ <br />Division of Ntinerals & Geology <br />According to C.R.S. 3d-32-116(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 year, new <br />disturbances [hat are anticipated to occur during the upcoming yeaz, reclamation that will be <br />performed during the coming yeaz, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any, <br />Please attach your revised annual resort mau and written resort to this <br />annual report. Plense note that an adequately labeled map that clearly delineates and <br />includes the above 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 />Contact Name: ` <br />Address: ~Q . Q ~~' <br />.. w~eS~Gt /'A ~ 0073 I <br />Company" I lvt ~',J//1t/I i oacfi~I'i~9'2 <br />Phone No.: (9~I0) ~7Y/-~~7~ <br />Fax No.: (9'JD) '~7S' ~~~ c~ <br />>f 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 />Signature of Corporate Of icer, or Owner Date <br />INSTRUCTIONS ON BACK <br />