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ANNUAL FEE and REPORT REQUEST <br />PERMITI'EE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Colorado Alabaster Supply <br />M-1989-077 <br />Colo Alabaster <br />August 28, 2002 <br />RECEIVED <br />AUG 2 9 2Q02 <br />Division of Minerals and Geolegy <br />$75.00 (Due on or before your anniversary date) <br />Latimer <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversa date of the pemtit, an <br />op armuai-f~a repo an maps owing t e extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual resort and annual resort map to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: ~ - ' ' "' <br />Permittee Contact: Stanley C. Jones - <br />Permittee Name: Colorado Alabaster Supply <br />Address: 1507 N. College Ave. <br />Ft Collins, CO 80524 <br />Pltone Number- - (970) 22i-0723 <br />Fax Number: (970) 221-0723 <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 aze <br />enclosed. <br />~ ~y <br />Signature of orporate ficer or Owner <br />O /0~7 doZ <br />Date <br />M iPERMTMASTERD000MENTS/M-AF-02. DOC <br />