2006-08-16_REPORT - M2001114 - Laserfiche WebLink

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~SCi PERMITTEE NAME: PERMIT NO.: OPERATION NAME: ANNNERSARY DATE: ANNUAL FEE DUE: COUNTY: ANNUAL FEE and REPORT REQUEST t/ Loukonen Bros. Stone Company ,/M-2001-114 Starks Quarry August 26, 2006 g-~-~ RECEIVED LL~ AU6 16 2006 ~/uivision ofRecyam~on Mmfng and Saf $281.00 (Due on or before your anniversary date) Larimer 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 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 during the coming year, 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 resort and annual report maa to this form. The Annual Report & Fee requirement is not met until we have received the following components: fee, report, and associated map (All are required regardless of the level of disturbance or absence of disturbance during the previous year). Please note that an adequately labeled map that clearly delineates and includes the above elements may since for a written report. Division records indicate the following permittee contact information. Please verify and make any necessary changes: Permittee Contact: Michael Loukonen Permittee Name: Loukonen Bros. Stone Company Address: 12993 N. Foothills Hwy. Longmont, CO 80503 Phone Number: (303) 823-6268 Fax Number: (303) 823-0843 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. ~~~2i/~~ Signature of Corpora e Officer, Owner, or Designee ~/2 S Date