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v S <br />~ ' 1 / <br />AN AL FEE an REPORT REQUEST <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />/I.eonard Loukonen <br />~/M-1986-085 <br />Weaver Quarry <br />December 5, 2007 <br />$$323.00 (Due on or before your anniversary date) <br />Larimer <br />~~~~a~ <br />DEC 0 3 2007 <br />~~' <br />Division of Reclamation, <br />Mining and Safety <br />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 <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 preceding year, new disturbances that are anticipated to occur <br />-~ - - during tI-e~upcoming-year,-reclamation-that will be-per-for-med-during_the_coming~ear,-_th~dat~s for the beginning_ _ __ _ <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 year and no new changes 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 />Permittee Contact: Michael Loukonen <br />Permittee Name: Leonard Loukonen <br />Address: 12993 N. Foothills Hwy <br />Longmont, CO 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 />~//GL~'wf' ~~~yti~ii!/~- <br />Signature of Corporate Officer, Owner, or Designee <br />~/-Zd- 07 <br />Date <br />