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/,~ R~7 <br />~~~ <br /> ANNiiAi. FF.F, and RF.PtiRT RF .QiTFST RECEIVED <br /> OCT <br />PERMITTEE NAME: "How and Barbara Stone <br /> <br />PERMITNO.: //M-1991-080 ~ DiriuoeotMinerahand0solopi <br />OPERATION NAME; Stones Ranch Grav Pt <br />ANNNERSARY DATE: October 25, 2005 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Teller <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 />snaii`suomn the annual iee~ a rz;port-alZl map sfiowing one-extent-iif `current: disturbances tsaffeciea-iand;-' <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 <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach Ynnr revised written anm~al re~nrt and annual re~nrt m t to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following petmittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Howard & Barbara Stone <br />Permittee Name: Howard and Barbara Stone <br />Address: 8292 Teller Rd., No. 1 <br />Florissant, CO 80816 <br />Phone Number: (719) 689-2277 <br />Fax Number: (719) 689-2277 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Owner, or Designee <br /> <br />Date <br />