2004-09-09_REPORT - M1981108

• Permit No: M1981108
• IBM Index Class Name: Report
• Doc Date: 9/9/2004
• Doc Name: Annual Fee/Report/Map
• From: Blue Mountain Stone
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

JUL-1B-04 10:41 FROM-Colorado Division of Minerals 1 Geology [phone]
AN1VyiAl. RF:F, and RF.Pt1RT R~iJEST
PERMI7'IEE NAME: Blue Mountavt Stone
PERMIT NO.:
M-1981-108
T-126 P.009/D09 f-026
fl1f
6't~6s ~A !! ~tlJ
SEP 0 0 2004
Division of Minerals & Geology
OPERATION NAME: Beech Hill Quarries
ANNIVERSARY DATE: August 29, 2004
ANNUAL FEE DUE: $688.00 (Due on or before yonr anniversary date)
COUNTY: Latimer
According to C.R.S. 34-32.5-116 or C.R.S. 3432-116, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to at'iected land,
reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for t}re beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ygnr revised written anneal re0nrf and anneal re_pnt7. ma= to t6i¢ form. p/eggg ilofe dial an
adegualely labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following permittee contact information. Please verify and make acy necessary
changes:
Perntittee Contact: Abe Vasquez
Permittee Name: Blue Mountain Stone
Address: 4168 Ute FTwy.
Longmont CO 80503
Phone Number: [phone]
Fax Number: [phone]
if you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are e:nelosed
rgnature of Co rate Officer, Owner, ar Designee
DatC