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2t-OCT-2005 10:06 FAOY-Colorado Divicion of Yin~ralc t 6mlotr <br />a1t03t321106 <br />AY`; ~i'i <br />Titt P.OOL002 <br />F-t/t <br />d m l< <br /> RECEIVED <br /> AfYNiIA . Lh:R nA RRPART RF.L2iTFS f <br />NOV 0 3 2005 <br />PERbIIl-fEE NAME: Plains Stone Company .~j <br />"Division of Miner,,:_ ,,;,:. , :Hire <br />PERMIT NO.: // M-1990016 <br />OPERATION NAME: South 40 Qaury <br />ANNYVERSARYDATE: _ Maly11,2N15 _- _ - -- -- _ _ - _ -=--_--- ___- <br />ANNUAL FF.E Di]E: 5281.00 (1~ on or before your annirtrsary date) <br />COUNTY; klremont <br />According to C.RS. 34325-1 l6 or C,R.S. 3432-116, each year, ~ the anniversary ate of the pexmit, as operator <br />shall submit the amtual fce, a repeat and map showing the extent of ctarent disttabances to affected land, <br />reclamation accomplished to date and during the prtxeding year, new disttabances that ate a~cipated to occur <br />daring the etpcottdog ytxr, rcchurmtion that wtill be performed during the coming year, the dares for dre beginning <br />of active erpaations, and the eta0e active operations ceased for the year, if arty. <br />PtHa..tF.d~ wmr reviwl wrritren ^nnnfl rnnnr! i~ ~ene~l rlr~nA mt~ fn thin torat Please male flier! Qn <br />adagrwtely labeled map that ~' deliaaua attel itrcladet the aiiove e~lemena may saffrce for a tvrr'tten report. <br />Division records indicate the following permitter contact information. Please verify arid tneke any ttecessary <br />changes: <br />Pemtitrce Contact: Scott Wagmer <br />Permittee Name: High Plains Stox Company <br />Address: P.O. Box 100 <br />Castle Rock, t:'O 80104 <br />Phone Number: (303) 791-1862 <br />Eax Ntmober: (303) 791-1919 <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 Ibis form slang with your vntitten report and map_ Armual Report irtshttcfionc ate enclosed. <br />Signature of Corpeaate Ofbexr, a, or Designs <br />to -erg-o5 <br />Date <br />