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~~1 <br /> <br />:, <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Colorado Lime Company <br />M-2000-098 <br />Monarch Quarry <br />January 15, 2006 <br />$688.00 (Due on or before your anniversary date) <br />Chaffee <br />RECEIVED '`~`' <br />DEC 192005 <br />Division of Minerals and Cealogy <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 />„t..n _..L_:..L_ ____._, o__ a-regerE-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 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 ym,r revised written annual report and anneal report m ~ 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: <br />Permittee Name: Colorado Lime Company <br />Address: P.O. Box 1044 <br />Phone Number: <br />Fax Number: ~ <br />Salida, CO 81201 <br />(719) 539-3525 <br />(719) 539-7272 <br />L14-/.t~t~"1~1C~ YVlI~"f-~~Y11~1- <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 />s/ ~~ <br />ature of Corporate Officer, Owner, or Designee <br />i 2 -is-vs <br />Date <br />