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f • III IIIIIIIIIIIII III • <br /> sss <br /> ANNUAL FEE and REPORT REOUEST RECEIVED <br /> OCT 0 4 2001 <br /> PERMITfEE NAME: Popejoy Construction Company, Inc. <br /> PERMIT NO.: M-1986-124 <br /> Division of Minerals and Geology <br /> OPERATION NAME: Cecil II Gravel Pit <br /> ANNIVERSARY DATE: October 24,2001 <br /> ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) <br /> COUNTY: Washington <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 are 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 /> I <br /> Please attach your revised written annual report and annual report may to this form. Please note that an <br /> adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> changes: <br /> Permittee Contact: Donald G. Popejoy <br /> Permittee Name: Popejoy Construction Company, Inc. <br /> Address: P.O. Box 385 <br /> Ulysses, KS 67880 p�nb <br /> " <br /> Phone Number: (316) 356-3404 <br /> Fax Number: (316) 356-4788 <br /> If you have additional comments and/or information that shotrld.,be provided to the Division, please provide it <br /> below or attach it to this form along with your written rep6n:,atid rg6p`. Annual Report instructions are enclosed. <br /> f <br /> k� <br /> Signature of Co ora ficer or Owner } { <br /> r <br /> Date <br /> MAPERMUTWASTERDOCUMENTSW AF-01 <br />