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c~mr <br />~a~~ <br />ii-l~ ob <br />!/ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: '~ McAtee Construction Co. RECiE~VC'~ <br />/' ~ <br />PERMIT NO.: v M-1986-147 ~ NOV 13 2006 <br />OPERATION NAME; Harley Pit #I ~sion of Reclamation, <br />Mining and Safety <br />ANNPJERSARY DATE: December 2, 2006 <br />ANNUAL FEE DUE: $$688.00 (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 yeaz, 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 />cec`lamaiion aocomphshe-d to dale and-during ttie 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 vour revised written annual resort and annual report man to this form. The Annual Report <br />& Fee requirement is not met until we have received the followiug components: fee, report, and associated <br />ma If no new disturbances or reclamation have occurred during the previous year and no new chanties to <br />the previous year's man are necessary, then no new man is required, nrovided that the Operator shall state <br />this iu the Aunual ReooM. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may sz~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: William G. Lauer <br />Permittee Name: McAtee Construction Co. <br />Address: P.O. Box 1908 <br />Sterling, CO 80751 <br />Phone Number: (970) 521-0651 <br />Fax Number: (970) 522-9725 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />1 I-G-fib <br />Date <br />