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ANNUAL FEE and REPORT REQUEST <br /> RECEIVED <br /> PERMITTEE NAME: ELB Stone, Inc. <br /> JAN 2 3 2001 <br /> PERMIT NO.: M-1981-107 <br /> OPERATION NAME: Buster Quarries <br /> Division of Minerals and Geology <br /> ANNIVERSARY DATE: January 8,2001 <br /> ANNUAL FEE DUE: $688.00(Due on or before,your anniversary date) <br /> COUNTY: Larimer <br /> Accordin, to C.R.S. 34-325-116 or C.R.S. 34-32-t 16, each year, on the anniversary date of the permit, an <br /> operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br /> land, reclamation accomplished:to date and during the preceding year, new disturbances that are anticipated to <br /> occur during the upcoming year, reclamation that will be performed during the comin., year. the dates for the <br /> beginning of active operations. and the date active operations ceased for the year, if any. <br /> Please attach your revised written annual report and annual report man to this form. Please none that an <br /> adequately labeled mep that clearIv delineates and includes the ahove elements mur suffice for a ā¯‘ritien <br /> report. <br /> Division records indicate the following permittee contact information. Please verify and make any necessary <br /> chances: <br /> Penniltee Contact: David E. Buster <br /> Permittee Name: ELB Stone. Inc. <br /> Address: 2-495 CR 37 E PO Box 42 <br /> Lyons. CO 80540 Fairlee Vermont 05045 <br /> Phone Number: (303) 823-5659 802 222-4540 <br /> Fax Number: 802 222-5831 <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 instructions are <br /> enclosed. <br /> &'0-11 <br /> Signs ure o Corporate Officer or Owner <br /> Vm <br /> Date <br /> NI V'ERAIIPMASTERDUCUNIENTS'Ni-AF-01 <br />