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ol? <br />eCS <br />'0'0? <br />ANNUAL FE and REPORT REOUEST /RHG EVE tD <br />PERMITTEE NAME: Logan County OCT 16 2008 <br />PERMIT NO.: / / M-1993-069 Division o-i reclamation, <br />Kning and Safety <br />40 <br />OPERATION NAME: Lindstrom Gravel Pit <br />ANNIVERSARY DATE: November 26, 2008 <br />ANNUAL FEE DUE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Logan <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall-suliinit-th annual-fee;7 =report-an&map=showing=the=extent-of_cur-rent=distiubances_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 />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated may. If no new disturbances or reclamation have occurred during the previous year and no <br />new changes to the previous year's map are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please nd make any necessary <br />changes: <br />Permittee Contact:.-Kris-Nta- <br />Permittee Name: Logan County <br />Address: 315 Main St., Ste. 2 <br />Sterling, CO 80751 <br />Phone Number: (970) 522-7879 <br />Fax Number: (970) 522-4018 <br />If you have additio 1 comments and/or information that should be provided to the Division, please provide it <br />below or attac form along with your written report and map. Annual Report instructions are <br />enclosed. l / <br />of <br />Date <br />, Owner, or Designee <br />M: PERMITIMASTERDOCUMENTS\NI-AF-04