2004-09-02_REPORT - M1985212

• Permit No: M1985212
• IBM Index Class Name: Report
• Doc Date: 9/2/2004
• Doc Name: Annual Fee/Report/Map
• From: Arkins Park Stone Corporation
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Arlcins Park Stone Corp.
M-1985-212
Arkins Park Quarries
September 5, 2004
N
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RECEIVE®
SEP 0 y 2004
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Larimer
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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation-accomplished_to_date_and_during the preceding year, new disturbances that are anticipated to occur ___
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written anmral re~nrt and annual report m ~n to this form- Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following perntittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Judy Sprague
Permittee Name: Arkins Park Stone Corp.
Address: 5975 NCR 27
Loveland, CO 80538
Phone Number: [phone]
Fax Number: [phone]
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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 enclosed.