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~1( ~~~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REOUES/T <br />Loukonen Bros. Stone Company y~ <br />y141-1981-277 <br />Beech Hill Quarries <br />January 11, 2007 <br /> <br />R~C~IVED <br />~N 0 5 2007 <br />Pty <br />~f9laFl <br />$$688.00 (Due on or before your anniversary date) <br />Boulder <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each yeaz, on the anniversary date of the 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_precedina vear,.new disturbances that aze anticipated Io_occur <br />aunng the upcoming yeaz, rectamation tnat ww be penonnect aurmg the coming year, <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />map. If no new disturbances or reclamation have occurred during the previous veer and no new chances to <br />the previous year's map are necessary, then no new map is required, provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Petmittee Contact: Michael Loukonen <br />Pennittee Name: Loukonen Bros. Stone Company <br />Address: 12993 N. Foothills Hwy. <br />Longmont, C0 80503 - ' - --'" ~""-' - _, . _ . _ _ _ ._ <br />Phone Number. (303) 823-6268 <br />Fax Number: (303) 823-0843 <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 />Signature of Corporat fficer, Owner, or Designee <br />/ - ~ -Zoo <br />Date <br />