2005-12-05_REPORT - M1986085

• Permit No: M1986085
• IBM Index Class Name: Report
• Doc Date: 12/5/2005
• Doc Name: Annual Fee/Report/Map
• From: Leonard Loukonen
• To: DMG
• Media Type: D
• Archive: No

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PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNiiAi. FF.F, and RF.P(iRT RF.OiTFST
V'LeonardLoukonen ~ ~EC~p@rj~:~'
I~'-19s6-oss "bEC 0 5 yD05
Weaver Quarry `~ Division of
December S, 2005
$281.00 (Due on or before your anniversary date)
Larimer
i
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
'shah-suUmt a annua fee, a-report-and map-showingthe-extent-af current-disturbances is-aff cted land,-- -----
reclamation accomplished to date and during the preceding year, new disturbances that 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 ~;nnr revised written annual re:~nrt and anm~al report ma=n, 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:
Permittee Name:
Address:
Phone Number:
Fax Number:
NI~~cNAE~ LoukoNEp~
12gq 3 tJ ~ 'F60TNILL S I{uly
LotJGmo~l'~ Co~ r405o3
30'3 - 82.''~ ' 0843
If you have additional comments and/or information that should be provided to the Division, please provide
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
,~ 1~~05
Date
Leonard Loukonen
Leonard Loukonen
P.O. Box 333
Lyons, CO 80540
[phone]