REP45404

• Permit No: M1985211
• IBM Index Class Name: Report
• Doc Date: 4/2/2004
• Doc Name: 2004 Annual Report
• From: Arkins Park Stone Corp.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Arkins Park Stone Corporation
M-1985-211
Berthoud Pink Quarry
Apri129, 2004
APR 0 2 2004
Division of Minerals & DeologY
$281.00 (Due on or before your anniversary date)
Larimer
P_ccording to C.R.S. 34-32.5-116 or C.R.S. 34-32-1 l6, 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 aze 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 ynnr revised written annnal rennrt and annual rennrt mad 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: d'i
Permittee Name: Arkins Pazk Stone Corporation
Address:
Phone Number:
Fax Number:
5975 NCR 27
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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 aze enclosed.
Designee
Date