2006-04-26_REPORT - M1991037

• Permit No: M1991037
• IBM Index Class Name: Report
• Doc Date: 4/26/2006
• Doc Name: Annual Fee/Report/Map
• From: Monarch Stone Company
• 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:
t'ANNTIAT, FRF. and REPORT RF. T(~tFST
'/ Monarch Stone Company
M-1991-037
ICatuska Pit
May 3, 2006
~i~CEdVED
"APR 26 2006
v 6fYt61oo of Minerals aad liaolapr
$281.00 (Due on or before your anniversary date)
Park
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,
rec ama ion n accomplished to ate an ~unng the prece rng year, new disturbances that are ariticipated 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 repnrf and anmral report m ~n M Chic 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 pennittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Anthony J. Kimmick
Permittee Name: Monarch Stone Company
Address: P.O. Box 620216
Littleton, CO 80162
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.
r
Si at r e o/f Corporate Officer, esrgnee
Date
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