2003-04-30_REPORT - M1991037

• Permit No: M1991037
• IBM Index Class Name: Report
• Doc Date: 4/30/2003
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

V
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Monarch Stone Company
M-1991-037
Katuska Pit
May 3, 2003
$281.00 (Due on or before your anniversary date)
Park
RECEIVED
APR 3 0 2403
Division ~f Minerals and Geology
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 the annual-fee,- a'report-and~map showin"g" the extent of current disturbances 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 far the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach ynnr revised written anneal rennrt and anneal rennrt m,~ to this form. 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: Anthony J. Kimmick
Permittee Name: Monarch Stone Company
Address: P.O. Box 620216
Littleton, CO 80162
Phone Number: [phone]
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.
i
Si lure of Corporate Officer, Owner, or Designee
~ ~ l r
Date
M:\PERM ITMASTERDOCUMENTSVN-AF-01