2006-08-23_REPORT - M1989077

• Permit No: M1989077
• IBM Index Class Name: Report
• Doc Date: 8/23/2006
• Doc Name: Annual Fee/Report/Map
• From: Colorado Alabaster Supply
• To: DRMS
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

P.'S~
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
`~ Colorado Alabaster Supply
~/M-1989-077
v Colo Alabaster
August 28, 2006
RECEIVED
~ AUG 2 3 2006
v DNIS10n of Reclamation,
Mining and Safety
$75.00 (Due on or before your anniversary date)
Lorimer
~~/2
g-~ 06
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the permit, an
operator shall submit the annual fee, a report and map 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 year, reclamation that will be performed-duffing the coming year, the dates-for the - "
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual renort map to this form. 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: Colorado Alabaster Supply
Address: 1507 N. College Ave.
Ft Collins, CO 80524
Phone Number: [phone]
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 instructions are
enclosed.
Signature of Corporate Ottficer, Owner, or Designee
ZI ~9uAUff ~~o
Date
M:IPERMI7IMASTERDOCUMENTS/M-AF-02.DOC