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-. <br />iii iiiiiiiiiiiu iii <br />_; <br />ANNUAL REPORT ~.~ ~~ <br />PERMITTEE NAME: Monarch Stone Company <br />PERMIT NO.: M-1991-037 RECiE~VE® <br />OPERATION NAME: Katuska Pit MAY 0 5 2000 <br />ANNNERSARY DATE: May 3, 2000 Divi5ionolMint'raI58Geolog}t <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Park <br />According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br />submit the annual fee, a report 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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled map that clearly delineates and includes dte above elements may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />~~ <br />Contact Na -~ ~ t <br />Address: ~ ~ ~ ~ o, .S <br />' 1z Gv <br />~1~1 <br />Company: 1 ' 1 rJ nq f c,~.CJ/ ~^t <br />Phone No.: ~ ~~ ) ~ 3 3 - / ~o S <br />FAX No.:~ J3 > ~ 33 - a 3 7 r7 <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~ i <br />3 ~ ~l <br />Signat r of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:IPERMlM1 ASTER DUCUMENTSUI~AF-01 <br />