2003-08-22_REPORT - M2001114

• Permit No: M2001114
• IBM Index Class Name: Report
• Doc Date: 8/22/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

i
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNTJAT.FF.F,andRF.PORTRF.QTiF.ST RECEIVED
Loukonen Bros. Stone Company
M-2001-114
Starks Quarry
August 26, 2003
AUG 2 2 2003
Division ~f Minerals and Geology
$281.00 (Due on or before your anniversary date)
Lorimer
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 ihe'annual -fee,"-a report and-inap showing the extent of curt~ent distui6anc'es 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 your revised written annual rennrt and anmral rennrt maw to this fnrm_ 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: Michael Loukonen
Permittee Name: Loukonen Bros. Stone Company
Address: 12993 N. Foothills Hwy
Longmont, CO 80503
Phnna Nlunber:~_(303)_823=626R_ - -
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 Corpo~Officer, Owner, or Designee
~/zi ~v3
Date
M:~PERMITU1ASTERD000MENTSVN-AF-01