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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />COUNTY: <br />Hankins Stone Co., Inc. <br />M-2000-154 <br />Hankins Stone Quarry #1 <br />August 2Q 2003 <br />$688.00 (Due on or before your anniversary date) <br />San Miguel <br />RECEIVED <br />AUG 18 2003 <br />Division ~f Minerals and Geology <br />According to C.R.S. 34-32.5-I 16 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator _ _ <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <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 your revised written annual tenor[ and annual re nrt m ,p to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Steve Hankins <br />Permittee Name: Hankins Stone Co., Inc. <br />Address: P.O. Box 164 <br /> Dove Creek, CO 81324 <br />P.hone.Number:- . (970)-6zz..2830 <br /> <br />Fax Number: n // <br />/ 70' cp77- ~f,3C~ <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 />MiPERMINNASTERDOCUMENTSUI-AF-01 <br />~--/~~ s <br />Date <br />