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w~Q~k~hPs <br /> <br />JUL 21 2005 <br />Divisior of P,;i,..: ~. r; ;:,tr,CY <br />PERMTiTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Hankins Stone Co., Inc. <br />M-2000-154 <br />Hankins Stone Quarry #1 <br />August 20, 2005 <br />$688.00 (Due on or before your anniversary date) <br />San Miguel <br />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 <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 ynnr revised written annnal re~nrt and annnal report maw to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since 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 />Phone Number: (970) 677-2830 <br />Fax Number: (970) 677-2830 <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 />~~~~ <br />Signature of Corporate Officer, Owner, or Designee <br />7- / ~ -~~- <br />Date <br />