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12/30/2003 09:14 COLORRDO QURRRIES -~ 13038328106 N0.903 <br />ANNiJAL FRF and RF.PnRT RF.fli1F,ST <br />PERMIT'TEENAME: 'Colorado uarries,Tnc. ', <br />Q i~~~~~:m~. a <br />PERMITNO.: /M-1987-027 - _ ~~ <br />~1~~4 r ~ <br />OPERATION NAME: Hardship Lode Quarry 2 ~ `20~ ~ <br />~IDrs on ntlmmerars antl lien/o <br />ANNIVERSARY DATE: November 6, 2003 <br />M'nerals and Geology <br />ANNUAL FEE DUE: $281.00 (Due on or befor¢ your anniversary date) <br />COUNTY: Custer <br />According to C.R.S. 34.32.5-1 I fi or C.R.S. 34-32.11 ti, each year, on the anniversary date of the permit, an operator <br />shall submi[ the annual fee, a report and map sheaving the extent o£ current disturbances to aft'ected land, <br />reclamation accomplished to date and during the preceding yeaz, 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 />Pleeun attach ~'nnr rpvkad written one ral r~~yr end snmra~ rpryPrt tnap,jtt this form. please not¢ rho[ on <br />adequa[eiy labeled mop That clerrrJy delineates artd includes the above eiemenrs may since far a written report. <br />Division records indicate the following permittee contact information. Please verify and make arty necessary <br />changes: <br />PermitteeCantact: Bi)lTezak <br />;: <br />Permiaee Name: Colorado Quarries, inc. <br />Address: 270 S. 15th St <br />Canon City, CO 81212 <br />Phone Number: (719) 275-6894 <br />Fax Number: (719) 275-2131 <br />If you have additional comments and/or information [hat should be provided to the Division, please provide it <br />below or attach it to this form along tivith your written report and map. Annual Report instructions are enclosed. <br />~~a-02 <br />Si azure of orpotate Officer, Otvner, or Designee <br />Date <br />D05~ <br />/ 1 <br />.V. PfRSflrMAirfRWCU.~fGR75>b,t F-0I <br />