REP00822

• Permit No: M1977144
• IBM Index Class Name: Report
• Doc Date: 11/8/2002
• Doc Name: 2002 Annual Report
• From: Colorado Quarries Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

ANNUAL FEE and REPORT REQUEST
NOV 0 8 2002
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Colorado Quarries, Inc.
M-1977-144
Mica Lode
November 30, 2002
RECE6i/ED
Division of Minerals and Geolo9Y
$688.00 (Due on or before your anniversary date)
Fremont
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 accomplished to date and during the preceding year, new disturbances that are anticipated ro 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 resort and annual report map 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: Bill Tezak
Permittee Name: Colorado Quarries, Inc.
Address: 270 S. 15th St.
Canon City, CO 81212
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information [hat 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 orporate Officer, Owner, or Designee
Zo'~~` a~
Date ~12~c,' l/VS/OC'C'/' D-~
No N~.'-cc~~ C~GEIf~IycS
M iPERMITMASTERDOCUMENTSU4-AF-01