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grs <br />RECEIVED <br />DEC 212005 <br />ANNiIAi. FF.F. and RF.PnRT RF,t~iTF]RT -: ~sio„ er rhmerals and Geology <br />PERMTI'TEE NAME: McAtee Construction Co. <br />PERMIT NO.: M-1986-147 <br />OPERATION NAME: Harley Pit #1 <br />ANNIVERSARY DATE: December 2, 2005 <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-I 16, each year, on the anniversary date of the permit, an operator <br />---~~~~'.'.-~-;~n'.t-the-annual-fee,-a-report-and-reep-showh:g-the-extent-occurrent- dier.:rbancee--to-affected -?and,-- <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 />Please attach your revised written anneal re~nrt and annual re nn rf m yn 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: William G. Lauer <br />Permittee Name: McAtee Construction Co. <br />Address: P.O. Box 1908 <br />Sterling, CO 80751 <br />C-- Phone Number--j970j-52'i=065-t <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 Repor[ instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br />rs/3o/Qr <br />Date <br />