Laserfiche WebLink
~. <br />• III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMI'fTEE NAME: I{iowa County <br />PERMI"f NO.: M-1991-073 <br />OPERATION NAME: Ferris Pit <br />ANNNERSARY DATE: July 12, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUN'T'Y: Cheyenne <br />~- <br />~t~~~ <br />'L00~ <br />1'I ~eo~o9Y <br />DjViSto~o~M~neta15& <br />According to C.R.S. 34-32-116(3)(a), each year, 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 that aze 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 year, if any. <br />Please attach your revised annual report map and written report to this annual report. <br />Please note that an adequately labeled map t)tat clearly delineates and includes the above <br />elemeittz~ 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: <br />~~ l (TC~ <br />cIS. ~,~ ~ ~ ~~a <br />Company: <br />Phone No.: (rl l q ) ~! ~ g'S8l (~ <br />FAXNo.:(7Iq ) U38-,S~7 <br />e-mail:Ktn~c~-~r.~rta .h~ <br />If there Ire 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 />~ /~ =7~ 2Q11~ <br />ignature Co ate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M IPERMITUTASTERDOCUM1IENTSV.I-AF-PI <br />~ .a".O <br />