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~~ <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: / Arkins Park Stone Corp. ~~~''~dl'9~~ A <br />PERMIT NO.: ~ M-1985-212 "~ SEP 15 2006 <br />OPERATION NAME: Arkins Park Quarries ~ ivision of Reclamation, <br />Mining a„. So,t~y <br />ANNNERSARY DATE: September 5, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />~ al <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 />-313a11-SU1Jm:t-t1:C annual--.FeC~ a-repoi i~iilld".; up uliv vv .u~'iitC ~x.c.`ii'O. c .cu. uaaui ua .c a .u atcl:~ u i'd'[iU, <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 of <br />active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual resort and annual report maa to this form. The Annual Report & <br />Fee requirement is not met until we have received the following components: fee, report, and associated map <br />(All are required regardless of the level of disturbance or absence of disturbance during the previous year). <br />Please note that an adequate/y labeled map that clearly delineates and includes the above elements may since for <br />a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Judy Sprague <br />Permittee Name: Arkins Park Stone Corp. <br />Address: 5975 NCR 27 <br />Loveland, CO 80538 <br />Phone Number: (970) 663-1920 <br />Fax Number: (970) 663-2315 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions are enclosed, <br />i lure of rporat Officer caner, or Designee <br />~/j IDf~ <br />Date <br />