2005-12-22_REPORT - M1977144

• Permit No: M1977144
• IBM Index Class Name: REPORT
• Doc Date: 12/22/2005
• Doc Name: Annual Fee/Report/Map
• From: Colorado Quarries Inc
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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RECEIVED
DEC 12 2005
i+iosion of Minerafs:.rJ ucsiu~y
PERMITTEE NAME: Y Colorado Quarries, Inc.
PERMIT NO.: +/ M-1977-144
OPERATION NAME: Mica Lode
ANNNERSARY DATE: November 30, 2005
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: Fremont
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
shah submit The annua ee, a reporE and map showing foe e`xten"i of Curren"t disturhances~o affecfea 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 report and anmral report m ~n to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may since for a written report.
Division records indicate the following pertnittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bill Tezak
Permittee Name: Colorado Quarries, Inc.
Address: 270 S. 15th St.
Canon City, CO 81212
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.
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Signature o orporate Officer, Owner, or Designee
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Date