REP21051

• Permit No: M1981057
• IBM Index Class Name: Report
• Doc Date: 6/7/2002
• Doc Name: 2002 Annual Report
• From: Arkins Park Stone Corp.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Arkins Park Stone Corp.
M-1981-057
Sprague-Red Lyons
June 10, 2002
1UN 0 7 2002
Division of Minerals and Geology
$688.00 (Due on or before your anniversary date)
Boulder
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an operator
shall-submit-th -annual_fee,_a_rep~n~nd_lnElp ~hnw~ng_the extent_Q urrent disturbances to affected land_,___
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during [he upcoming year, reclamation that will be performed during [he coming year, the dates for [he beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a writen report.
Division records indicate the following permit[ee contact information. Please verify and make any necessary
changes:
Permittee Contact: Tanya Geiser
Permittee Name: Arkins Park Stone Corp.
Address: 5975 NCR 27
Loveland, CO 80538
Phone Number: (970} 663-1920
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 enclosed.
~'l
Signature Corporate Officer or Owner
~/~/o Z
Date
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