2006-07-07_REPORT - M1987028

• Permit No: M1987028
• IBM Index Class Name: Report
• Doc Date: 7/7/2006
• Doc Name: Annual Fee/Report/Map
• From: Colorado Marble L.L.C.
• 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:
(/ ANNtiAi. FF:F, and RF.PpRT RF.Ailfi CT
// Colorado Marble, L.L.C.
~M-1987-028
Lily Mines
p p'"-'1i
RErE~
~,/JUL 0 7 ZuU6
t/ Division of Minerals and Geology
Marsh 18, 2006
5281.00 (Due on or before your anniversary date)
ChalYee
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.
PI2AAP nRnch Ynnr r yised wrttee nnnnal teMlrk and nnnnnl re~r~m~ M this Fn,•m- Please note that an
adequately labeled reap rhos clearly delineates ar:d tncludes she above elements may since for a written report.
Division records indicate the following permittee contact information Please verify and make any necessary
changes:
Permittee Contact: Bill R. Addison
Permittee Name: Colorado Marble, L.L.C.
Address: 229 Industrial Park Rd NE
Cartersville, GA 30121 to/awe a/o /f/.pt 6 EG., r€o.,ltS~' ~~ra.,;
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Phone Number: [phone] lCs.., a.J~ Csl ,zo6.s
Fax Number: [phone] p11. 8G4 ~Zf 5'S4a fR,r 9G0 Z7 S~L~
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,
l ~ 0~.,75../i~~ COLG~'~ ~.GSSS~
r of Corporate Officer, Owner, or Designee
Dat~
i;0/ZO 'd 06[OL6LBL9 'ON Xd.d 198WN,LWH08dNOW Wd b[.£0 3(l,L 9002-VO-NBf