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iii iiiiiiiiiiiii iii <br />999 <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Loukonen Brothers Stone RECEIVED <br />PERMIT NO.: M-1981-277 JAN 0 8 2003E <br />OPERATION NAME: Beech Hill Quarries Division~fMinerals and Geology <br />ANNIVERSARY DATE: January 11, 2002 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-I 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 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 your revised written annual report and annual resort map to this form. Please note thnt an <br />ndequntely labeled tnap that clearly delineates and includes the above elements may suffice fora K~ritten report. <br />Division records indicate the following permi[tee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Leonard and Michael 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 />[f you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to [his form along with your written report and map. Annual Report instructions are enclosed. <br />!~~ ~,~"^ <br />Signature of Corporate Officer or Owner <br />/-7-07_ <br />Dale <br />~1.~PERMIMIASTER DDCUPIENTSN7~AF OI <br />