2007-08-21_REPORT - M1989077

• Permit No: M1989077
• IBM Index Class Name: Report
• Doc Date: 8/21/2007
• Doc Name: Annual Fee/Report/Map
• From: Colorado Alabaster Supply
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMITI'EE NAME:
PERMTI' NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
Colorado Alabaster Supply
M-1989-077
Colo Alabaster
August 28, 2007
$86.00 (Dqe on or before your anniversary date)
Latimer
ocrctttcD
AUG 212001
pivision of Reclamation,
Mining and Safety
_ _ _ 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 the annual fee, a report and mug showing the extent of current disturbances to affected
land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to
occur during the upcoming yeaz, 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 yeaz, if any.
Please attach vonr revised written anneal report and anneal report map to this form. The Annual
Report & Fee requirement is not met until we have received the folbwing components: fee, renort, and
associated map. If no new disturbances or reclamation have occurred durin¢ the previous veer and no
new chanties to the previous year's map are necessary. then no new map is required, provided that the
Operator shall state this in the Annual Report. 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: Stanley C. Jones
Permittee Name:
Address:
Phone Number:
Fax Number:
Colorado Alabaster Supply
1507 N. College Ave.
Ft Collins, CO 80524
[phone]
[phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are
enclosed.
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Signature of Corporate cer, Owner, or Designee
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,Date
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