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. ~_ <br /> <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Phillips Stone Company <br />M-1981-075 <br />Nolan Quarry <br />July 30, 2003 <br />$281.00 (Due on or before your anniversary date) <br />Boulder <br />R€CEI VED <br />JUL 2 9 20p3 <br />Division ~t Minerals and Geology <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />--reelamattea-aeeomplished-to-date-and-during-the-preeeding-year,-new dishrrbances-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 anmial 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 suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Robert J. Phillips <br />Permittee Name: Phillips Stone Company <br />Address: 7850 Ute Hwy. <br />Longmont, CO 80503 <br />Phone Number: (303) 823-6395 <br />'-Fax Number: 303--~55- ~'~D~-- <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 />Stg ature of Corporate Officer, Ow r, Designee <br />7/~~/0~ <br />Date <br />M:\PERMIi\MASTERDOCUM ENTSVv1-AF-01 <br />