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� III IIIIIIIIIIIII III � i <br /> 999 <br /> ANNUAL FEE and REPORT REOUEST - p Ar� <br /> PERMITTEE NAME: Pope Pit#2 RECE V ED <br /> PERMIT NO.: M-1986-101 SEP 12 2001 <br /> OPERATION NAME: Pope Pit No 2 Division of Minerals and Geology <br /> ANNIVERSARY DATE: September 12,2001 <br /> ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br /> COUNTY: Pueblo <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 /> Please attach your revised written annual report and annual report map to this form. Please mote that art <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: Walter T. Pope 1A fAI-77_68 T /D O PE <br /> Permittee Name: Pope Pit#2 /91/ ' S//,nAnr �o,y n S <br /> Address: 1947 Siloam Rd. S. P11 P.�yh CC— S-//lo>; <br /> 717- 78 v - 3 ayZ- <br /> Pueblo, CO 81005 ,C70P e al <br /> Phone Number: (719) 784-3282 <br /> Fax Number: <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 /> (I LIL T <br /> Signature of Corporate Officer or Owner <br /> 9- i�� - R <br /> Date <br /> Ni TERM rRMASTERDOCUMENTSNI-AF-01 <br />