REP42946

• Permit No: M1986101
• IBM Index Class Name: Report
• Doc Date: 9/13/2004
• Doc Name: Annual Report and Fee
• From: Pope Pit #2
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

~iNP
RECEI`!~C
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE
ANNUAL FEE DUE:
COUNTY:
Pope Pit #2
M-1986-101
Pope Pit No 2
September 12, 2004
$281.00 (Due on or before your anniversary date)
Pueblo
SEP 13 2004
Division of Minerals & GOOIOp7
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 to affected land,
- - - -
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 ~mrr revised written anneal ~pnrt and anneal report mare to this form- Please note That an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Walter T. Pope
Permittee Name:
Address:
Phone Number:
__ _ _ _Rax Number:
Pope Pit #2
1947 Siloam Rd. S.
Pueblo, CO 81005
[phone]
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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.
Signature of Corporate Officer, weer, or Designee

Date