2002-12-05_REPORT - M1986085

• Permit No: M1986085
• IBM Index Class Name: Report
• Doc Date: 12/5/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Leonard Loukonen
M-1986-085
Weaver Quarry
December 5, 2002
$281.00 (Due on or before your anniversary date)
Latimer
RECEIVEp
DEC 0 5 2002
Division of Minerals and ~~~:
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
shall submit [he annual fee, a report and map showing the extent of current disturbances to affected ]and,
reclamation accomplished to date and during the preceding year, new disturbances [hat are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report maa to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact Leonard Loukonen
Permittee Name: Leonard Loukonen
Addsess: P.O. Box 333
Phone Number:
-- " Fa`x Number:
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach i[ to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
~ ~ ~ - ~ i.
Date
Lyons, CO 80540
[phone]
M:IPERMI-MIASTERDOCUMENTSN4-AF-01