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<br />ANNUAL FEE and REPORT REQUEST ~ rnT: nr cn~oanoo <br />~:t..~A F:tnncrul OF NATURAL RESOURCES <br />t~iv~3lON OF MINERALS & GEOLOGY <br />PERMITTEE NAME: Stone Wholesale Corporation 215 CENTENNIAL BUILDING <br />1313 SHERMAN STREET <br />PERMIT NO.: M-1997-065 DENVER, COLORADO 80203 <br />OPERATION NAME: Brownstone Quarry 3at3000oo RECEIVED <br />ANNIVERSARY DATE: October 22, 2002 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) SEP 0 5 2002 <br />COUNTY: Larimer Division of Minerals and Geology <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_the_annuaLfee,_a-.repori_aud_map.sltowing_the_extent~~cuRent_disturbances_to~ffected~and, <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 report mau to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Jim Striggow <br />Permittee Name: Stone Wholesale Corporation <br />Address: 4717 W. Lakeview Dr. <br />Fort Collins, CO 80526 <br />Phone Number: (970) 221-0057 <br />- - - Fax Number.- -- --- - - -- - - 47~ 2 J = ~~77- - - <br />If you have additional comments and/or information that should be provided to [he Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~/ <br />Sigtla t of Corporate Officer, Owner, or Designee <br />9-y_az <br />Date <br />M:~PERMr(VNASTERD000MENTSUI-AF-01 <br />