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G t <br />U' <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Po a Pit #2 <br />j.1~I-1986-101 <br />Pope Pit No 2 <br />September 12, 2005 <br />RE~EI~;i= <br />~SEP 0 i 2005 <br />Givision of Minerals and Geology <br />$281.00 (Due on or before your anniversary date) <br />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 />r c ~ a ion accomp ~s e o a e an aunng a prece mg year, new ~sturban- ces tha aro an ~c~pate 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 ynnr revised written annual re~nrt and annnal rennrt main, to this form. Please note thnt 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 perntittee contact information. Please verify and make any necessary <br />changes: <br />Pennittee Contact: l~aHer"F: Pefle l~ 1} ~ tt It err <br />Permittee Name: Pope Pit #2 <br />Address: 144.7_Siloa~~d. S. <br />9~~r5,~wy l~s <br />r~t>~ce-s~er~ <br />~'yi/ Cv $l0~9 <br />Phone Number: (719) 78d~3282- <br />Fax Number: y ~~ - 32(< / ~e. <br />yam? _C' l~ ~,_..,. ~ .r~-r ~: t <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 />Si ~re of Corporate Ot'fi~, O~ivne~Designee _ <br />~C-3l~O5- <br />Date <br /> <br />