2004-10-08_REPORT - M1986124

• Permit No: M1986124
• IBM Index Class Name: Report
• Doc Date: 10/8/2004
• Doc Name: Annual Fee/Report/Map
• From: Popejoy Construction Company Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Popejoy Construction Company, Inc.
M-1986-124
Cecil II Gravel Pit
October 24, 2004

RECR~VEp
OCT08~
Division et Minerals and Geology
$281.00 (Due on or before your anniversary date)
Washington
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 annual fee, a report and map showing the extent of_current .disturbances: ta=affected3and;
" 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 ynnr revised written anneal report and anneal re nrt main to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suj~ce for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Donald G. Popejoy
Permittee Name: Popejoy Construction Company, Inc.
Address: P.O. Box 385
Ulysses, KS 67880
Phone Number: [phone]
Fax Number: [phone] - ~ -
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.
,.
Signs ~e of Cori r~ O ~ Ccer, Owner, or Designee
Date ~ ~'