2006-02-02_REPORT - M1990148

• Permit No: M1990148
• IBM Index Class Name: Report
• Doc Date: 2/2/2006
• Doc Name: Annual Fee/Report/Map
• From: Kiowa County
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
I{iowa County
,~ M-1990-148
Gray Pit
February 5, 2006
`~ FEB 0 2 2006
DlYlslen of Minerals antl Geolo9Y
$281.00 (Due on or before your anniversary date)
Kiowa
J According to C_R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of_the_permit,_an _
operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach ymrr revised written anneal rennrt and anneal report man to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rick Spady
Permittee Name: Kiowa County
Address: P.O. Box 100
Phone Number:
Fax Number:
Eads, CO 81036
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
t
Si ~ re of Corp ate Of er, Owner, or Designee
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Dale
M:~PERMITNIASTERDOC[1MENTSN9-AF-04