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ANNUAL~ndREPO~ OUEST <br />PERMITTEE NAME: v Loukonen Bros. Stone Company <br />PERMIT' NO.: ~-2001-114 <br />OPERATION NAME: Starks Quarry <br />ANNNERSARY DATE: August 26, 2007 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />o~ <br />~RF('FI~B,~® <br />~AUG 1 ~ 2001 <br />is~~~~ ~~ ~ceciamation, <br />Mining and Safety <br />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 <br />_ -shalLsubmit_the,annual~ee,~aseport_and_mapshosving the extent of current disturbances to affected 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 vour revised written annual report and annual resort man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's map are necessary. then no new map is required. provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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 />Petrnittee Contact: Michael Loukonen <br />Permittee Name: Loukonen Bros. Stone Company <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. Annum Report instructions are enclosed. <br />~~ <br />Signature of Corporate Officer, Owner, or Designee <br />-i~-d7 <br />Date <br />