Laserfiche WebLink
<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Agile Stone Systems, Inc. <br />M-1997-054 <br />Parkdale Project <br />January 11, 2003 <br />$688.00 (Due on or before your anniversary date) <br />Fremont <br />RECEIVED <br />JAN 10 2003 <br />Division of Minerals and Ceolag~ <br />According [o C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of [he permit, an operator <br />shall 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 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 ymn• revised written anneal re~Qrt and anneal rennrt man 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: l re e LA QLY N A R K I ~5 <br />Permittee Name: Agile Stone Systems, Inc. <br />Address: P.O. Box 1026 <br /> Canon City, CO 81215 <br />Phone Number: (7 ] 9) 276-2042 <br />Fax Number: (719) 275-2227 - ~ - -- - " <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 />o ~ ~,~~ <br />Signature of Cor or to Officer, Owner, r esignee <br />/-~-03 <br />Date <br />MINER MITIMASTERDOCUM ENTSNI-AF-01 <br />