REP00007 ‎(2)‎

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✓ANNUAL FEE and REPORT REQUEST
PERMITTEE NAME:
t/Cat Construction, Inc.
PERMIT NO.:
t/ M- 1982 -160
OPERATION NAME:
Brighton Pit
ANNIVERSARY DATE:
November 30, 2006
ANNUAL FEE DUE:
$688.00 (Due on or before your anniversary date)
COUNTY:
Weld
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4-�OCT 10 2006
Z/bivision of Reclamation,
Mining and Safety
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,
- reclamation- ace -omplished- to-date- and - during- the- preceding-year,- new- d.sturbances -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 map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous vear's map are necessary. then no new map is reouired. provided that the Operator shall state
this in the Annual Report. 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:
Permittee Contact: James D. Felix
Permittee Name: Cat Construction, Inc.
Address: P.O. Box 257
Westminster, CO 80036
Phone Number: (303) 428 -9038
Fax Number: (303) 427 -5023
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.
Iiinature of Corporate Offi r, wner, or Designee
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Date