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PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Loukonen Brothers Stone <br />M-1981-277 <br />Beech Hill Quarries <br />January 11, 2003 <br />RECEIVE® <br />FEB 0 4 2003 <br />Givision of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Boulder <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 16, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing_the extent of current distur ances_tq~£fected_land,. <br />~' reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written anneal rennrt and anneal report main to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: ichael Loukonen <br />Permittee Name: Loukonen Brothers Stone <br />Address: 12993 N. Foothills Hwy. <br />Longmont, CO 80503 <br />Phone Number: (303) 823-6268 <br />Fax Number: (303) 823-0843 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Repott instmetions are enclosed. <br />;i/Gw/~ i~%~/i~~- <br />Signature of Corporate Officer, Owner, or Designee <br />/~z9 ~3 <br />Date <br />M:NERMn VvIASTEADOCUMENTSU~I-AF-01 <br />