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JUL-~200fi FRI 01 52 PM LOCAN COUNTY COMM. 522 4018 P. 04 <br />~`,~~'~ del <br />~A~,~~1i. FFF. and RF.P()RT R~iTF!CT <br />PERMI'ITEE NAME: r/ Logan County <br /> <br />PERMPT NO.; ~M-1999-029 <br />OPERATION NAME: Hob Terrill Clay Pit <br />ANNTVERSARX DATE: June 22, 2006 <br />ANNUAL FEE DUE: $281.00 (Ana on or before your anniversary date) <br />COUNTY: Logan <br />According to C.R.S. 34-32.5-116 or C,R.S. 34-32-l16, each year, on the anniversary date of the peanit, an <br />operator shall submit the annual fee, a report and map showing the extent of current dishabances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated'to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />PteaRe aCh y~tr rP i~ written apn ,_ a~~~t And awl ~p np rt mn,~,tathia fnrim. pJpage Hate that an <br />adequately labeled map that clearly delineates and includes the above elements may suJjFce for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: -l~aedrrioiceorxrcek <br />Permittee Name: Logan County <br />Address: 315 Main St., Ste. 2 <br />.11 m IJab I.e7CC J/~ <br />Sterling, CO 80751 <br />Phone Number: (470) 522-0888 <br />Fax Number; (970) 522018 <br />Tf you have additional comments andior information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed, <br />5ignatu~rporste O car, Owner, or Designee <br />r7~Za' OfQ <br />Aate ~ <br />