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RECEIVED <br />AUG 2 ~ 2002 <br />PERMITTEE NAME: <br />PERMTT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />~1gi8(oa of Minerals and Geology <br />Blue Mountain Stone <br />M-1981-108 <br />Beech Hill Quarries <br />August 29, 2002 <br />$688.00 (Due on or before your anniversary date) <br />Larimer <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 />- --shall-submit--[he annual-fee,_a report--and-map-showing-the-extent--of=current-disturbances-to_nfferted_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 />Bch your revised written annual report and annual report maA to this form. Please note that an <br />labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate [he following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Abe Vasquez <br />Permittee Name: Blue Mountain Stone <br />Address: 4168 Ute Hwy. <br />Phone Number: <br />Fax Number: <br />Longmont, CO 80503 <br />(303) 823-9625 <br />(303)823-6888 <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 Report instmctions are enclosed. <br />f Corporate Officer or Owner <br />~-~3-~~ <br />Date <br />M:IPERMITMAS7EAD000MEN7SVd-AF-01 <br />