REP50149

• Permit No: M1983187
• IBM Index Class Name: Report
• Doc Date: 7/3/2001
• Doc Name: NOTICE OF INTENT TO CONTINUE ANNUAL REPORT KUES GRAVEL PIT M-83-187
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Logan County
M-1978-189
Kues S & G Pit
June 29, 2001 c~~,~
$22 ue on or before your anniversary date)
Logan
According to C.R.S. 34-32.5-]16 or C.R.S. 34-32-]]6, 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 your revised written annual report and annual report man to this form. Please note shat an
adequately labeled map that clearly delineates and includes the above elements may suffice far a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Perrnittee Contact: Ken Strohson
Permittee Name: Logan County
Address: 315 Main St.
Sterling, CO 80751
Phone Number: [phone]
Fax Number:
If you have additional comments and/or information that should be provided to the Divisiat, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
Signatur f Corporate Officer or w
7~~-d~
Date
M~NERM171MP.STERD000MENTSU4-AF-04