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_.. : -.. <br />~II ~IIIII~III~~~ ~I~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Logan County <br />PERMIT NO.: M-87-159 <br />OPERATION NAME: Guenzi S & G Pit <br />ANNNERSARY DATE: December 28, 1999 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $550.00 <br />COUNTY: Logan <br />~r~Gl1/F~ <br />MAR u g 2000 <br />Division of Mineraro & Geology <br />According to C.R.S. 34-32.5-116(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the year, <br />if any. <br />Please attach your revised annual report map and written resort to this annual report. Please <br />note drat an adequately labeled Wrap that clearly delineates and includes the above elements may <br />suffice far a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Ken Strohson Logan County Planning <br />Contact Name: ~cTne.,;., e..ao. Company: g7{~_c~~sQQ ~.., X26 <br />Adddress: Phone No.: <br />er mg, ~L't-40T~- <br />__ _ _ Fax No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~-- ~ a-~ ~ ooU <br />Sig ature of Corporate Officer, or caner Date <br />INSTRUCTIONS ON BACK <br />