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<br /> <br />RECEIVED <br />PERMITTEE NAME: Stone Forge <br />PERMIT NO.: M-1991-147 <br />OPERATION NAME: Quinn Quarry <br />ANNNERSARY DATE: July 16, 2000 <br />~II ~I~~I~~I~~~~~II~ <br />999 <br />ANNUALI~YQRT <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Douglas <br />~uN 2 i zooo <br />Division o1 Minerals & Geolo9Y <br />>_~r <br />'~ ~~ .,, <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual report map and written report to this annual report. Please <br />note that an adeyt<ately labeled map that clearly delineates and includes the above elements nary <br />since for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: Company: <br />Address: Phone No.: ( ) <br />FAX No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a sepazate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner <br />Date <br />INSTRUCTIONS ON BACK <br />Al WERMrIVN?.STERD000M ENTSV.1-AF~01 <br />