2002-02-01_REPORT - M1981107

• Permit No: M1981107
• IBM Index Class Name: Report
• Doc Date: 2/1/2002
• Doc Name: Annual Fee/Report/Map
• 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:
ANNUAL FEE and REPORT REQUEST
ELB Stone, Inc.
M-1981-107
Buster Quarries
January 8, 2002
RECEIVED
FEB 0 1 2002
Division of Minerals and Geologlf
$688.00 (Due on or before your anniversary date)
Lorimer

According [o C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, 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 [o affected land,
reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated to occur
during the upcoming year, reclamation that will be performed during [he 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 resort map to this form. Please Wore that nn
adeyunreh~ labeler/ reap that clearly delineates and includes the above elements nurv since for n u rirreu report.
Division records indicate the following permittee contact information. Please verify and make any necessary
chances:
Permittee Contact David E. Buster
Permittee Name:. ELB Slone, Inc.
Address: P.O. Box 42
Phone Number:
Fax Number:
Lyons, CO 05045
[phone]
1802) 222-5831
If you have additional comments and/or information that should be provided [o [he 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 or Owner
Date
M11.~PERMI'M1 ASTERDOCUM17ENTSNI-AF-01