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~y <br />~~z- <br />i~ ~~-~~ <br />PERMITTEE NAME: ~ Popejoy Construction Company, Inc. RECEIVE[) <br />PERMIT NO.: `~ M-1986-124 ~n(T ; n Inns <br />OPERATION NAME: Cecil II Gravel Pit /bivi5ion of Reclamation, <br />ANNIVERSARY DATE: October 24, 2006 Mining and Safety <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-I 16 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_anr;~;narP~t r~ ,.~~„r <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 your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee. report. and associated <br />maa. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's maa are necessary, then no new maa is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may sujj<ce 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 />Uiysses, KS 67880 - - - - ~ - - <br />Phone Number: (620) 356-3404 <br />Fax Number: (620) 356-4788 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below gI attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />1 <br />Signature of Cotja'ora,~ 9fficer, Owner, or Designee <br />Date <br />