2006-09-13_REPORT - M1986101 - Laserfiche WebLink

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~~~ PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: /ANNUAL FEE and REPORT REQUEST Pope Pit #2 /M-1986-101 Pope Pit No 2 September 12, 2006 ~~~~A~~~a.J `~SF.P 19 2006 ivdrian Uf foGnmaiion, fv,~arn~ . ,~„ ~as:y $281.00 (Due on or before your anniversary date) Pueblo v a ~~ 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 shall submit the anneal fee; a repoii -and map showing the exient of -curreti~ disiai~bances-to-affected -land,- reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and the date active operations ceased for the year, if any. Please attach your revised written annual report and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, resort, and associated mao (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: I PermitteeContact: Kathleen Reeves ~'f' ~'~~5 ~~`W((t.~,. (,~L !-L~.t_ Permittee Name: Pope Pit #2 ~~ 1'U~ ~ I1~rhF~ An Address: 9749 State Highway 165 ~ lti P`."-t- Rye, CO 81069 Phone Number: Fax Number: (719) 489-2616 If you have additional comments and/or information that should be provided to the Division, please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. / I ~~t.CJ'tX~'Z~v V 1 ~.~ s. ~ Signature of Corporate Officer, Owner, or Designee g -- to ~oG. Date