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GyGW <br />~ANNiiAi. FF.F, and RF.P(1RT RF.tI[TRST <br />RECEIVE® <br />"FEB 1 6 2006 <br />~ivision of Minu aia enJ ~~wayy <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />r% Lyman-Richey Corporation <br />/M-1999-011 <br />Craig Pit <br />March 2, 2006 <br />$438.00 (Due on or before your anniversary date) <br />Lincoln <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 operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation_accomplished_to_date_and_during_the_preceding_year,_new_disturbances_that_aze_anticipated to_occur - <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised writ en anneal rennrt and anm~al re~nrf map to Chic form. Please note that an <br />adequately Zabeled map that clearly delineates and includes the above elernents may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Carl Roberts <br />Permittee Name: Lyman-Richey Corporation <br />Address: 4521 Howard Blvd. <br />P.O. Box 964 <br />Phone Number: <br />Fax Number: <br />Columbus, NE 68601 <br />"-f4Q2)-X14-~$3C <br />(402)564-5133 <br />If you have additional comments and/or information that should be <br />below or attach it to this form along with your written report and map. <br />f j ~x4~t - ~ A ^y,~ <br />Sign ure of Corporate Officer, Owner, or Designee <br />provided to the Division, please provide it <br />Annua] Report instructions are enclosed. <br />Date-= ~~r~.a=a- ~-'~~ •f~ <br />