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07:29 FRD64~oforado Division of Minerals & Geology +13939329106 T-172 P.002/003 F-400 <br />~5 <br />~I°~ poe aleuolW W uoleW.! r <br />ECE.IVE® / ~OZ a 1 a3a <br />pp~t 2 7 2006 a3A13~3a <br />rats and Geology <br />RR>' NAMF~ ~Avalsnehe Creek Marble & A)abaster I.T.C <br />NOS ~ M-1999.042 <br />TON NAME: Wdlte Baaks Mine <br />RSAAY DATE: Janttmry 4, 2006 <br />L FEE DL7E: $x15.00 (Dae on oz before your anniversary date) <br />t~ Pitkln <br />ding to C.R.S. 3432.5-116 of C.R.S. 34-32-116, each year, on the amdversary date of the pemtit, an <br />or shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />+e8lahiat3en'~xompli's ado dh a ra~ing-the Precisrig Yeas. aeiviv ~istnP6""ances~it at 'are an`ticrp -d io'~' _ <br />during the upcoming year, reclamation that will be performed dmvtg the oonting yeaz, the dates for the <br />ring of active operations, and the date active operations ceased for the year, if any. <br />~ewt wrtHen a.~mnat ~~ apa A,,,.nnt rennet mint fi. thta 4nt.e_ pjQpsQ N1tC that aA <br />IabeleJ map that clearly delineates and includes the above elements may suffrce for a wr/leen <br />records indicate the following permittee contact Inforrnatioo. Please verify artd make any necessary <br />~ <br />ISeC ~~~ <br />PCrOI <br />I~:. Thomas L. Swint <br />i <br />ttee P7amc: <br />Perm Avalanche Creak Marble & Alabaster LLC <br />l <br />Addrdss_ Q,c~ft~Sc P. o. Box 277 v <br />i <br /> <br /> <br />EQyB~ <br /> <br />Palantine, IL 60078-0277 I <br />I <br /> or 2211 Banbury Road ' <br /> Palantine, IL 60067 (ice <br />p~.~~~.t~~~ <br />Phone+Number: -,,~A r~c,~~f <br />~~][]~f7}~jf Rt},~-Z~-ZRid <br />FaxNlamber. (~~:~ 847-776-2601 _ _ _ <br />Tf you have additional canmtents and/or infornta4ion that should be provided to the Division, Pkase pmvide it <br />below got attach it to this form along with your written report and map. Animal Report instructions are <br />T.L. Swint Industries, Inc. for <br />Aval Iche Creek Marble & Al)~baster LLC <br />~ ~~ <br />Sign a of Corporate O cer, Ow~~r, ar Designee <br />Att rttey and Designee for T.L. Swint Industries, Inc. <br />