REP00025 ‎(2)‎

Y999
ANNUAL REPORT111A ' JoCeIVED C
1 l 2000
PERMITTEE NAME: Bent County
division of Minerafs 8 Geology
PERMIT NO.: M-1987-041
OPERATION NAME: Sniff Pit
ANNIVERSARY DATE: June 2, 2000
ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00
COUNTY: Bent
-According to C.R.S-34732-1 16(3)(a), 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 annual report map and written report to this annual report.
Please note that an adequately labeled map that clearly delineates and includes the above
elements may suffice for a written report.
Please type or print the current contact person's name, mailing address, and phone number in the
space provided:
Contact Name: yiTi ey Burkhn1 ter Company: Bent county
Address: P.O. Box 350 Phone No.: (719 ) 456-2223
Las Animas, Co. 81054 FAX No.: (719 1 456-0375
If there are additional comments and/or information that should be provided to the Division,
please provide it on a separate sheet and attach it to this report form along with your map and/or
written report.
AIRInn
Signatw "of Corporate Officer, or Owner Date
INSTRUCTIONS ON BACK
M WERAtrM1ASTERDOCUMENTSW AF-04