2001-11-06_REPORT - M1986085

• Permit No: M1986085
• IBM Index Class Name: Report
• Doc Date: 11/6/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
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, 2001
RECEQ~E~
spy 0 6 2009
Division of Minerals and G 9
$281.00 {Due on or before your anniversary date)
Lorimer
According to C.R.S. 34-32.5-1 16 or C.R.S. 34-32-1 16, each year, on the anniversary date of the permit, an operator
shall submit the annual fee, a report and map showing the extent of curcent disturbances to affected 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 yeaz, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annual report and annual report map to this form. Please note t{oat an
adequately labeled rnap that clearly delineates and includes the above elements may since for a n~ritten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Leonard Loukonen ~.{ ~ ~-''- ~ U o t- ~G `1-(' I ~ {-tl,, ~.-_d~ -~
Permittee Name: Leonard Loukonen ~' r C d r ~ t d- r..P G1 pl ~. 6~(~-z'r ~-~ ~
Address: P.O. Box 333 ~ ~ ~->v-' r~ -•>< ~ ~w
Lyons, CO 80540
Phone Number:
Fax Number:
[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 instmctions are enclosed.
~ j~.~{~r^~ ~GG~/llOti.-
Signature of Corporate Officer or Owner
I f-3-ol
Date
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