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: - <br />a-r <br />1 <br />ANN A FEE and REPORT REQUEST <br />PERMITTEE NAME: Aolorado Alabaster Supply <br />PERMIT NO.: Y1_1989-077 <br />OPERATION NAME: Colo Alabaster <br />ANNIVERSARY DATE: August 28, 2008 <br />ANNUAL FEE DUE: $86.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />G 2 7 2008 <br />010oicn of ;?aOlamation, <br />Mining and Safety <br />7? 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 />/JW <br />shall submit the annual fee, a report and map showing the extent-of current disturbances_to_affected_land,. reclamation <br />accomplished to date and during the preceding year, new disturbances that are anticipated to occur during the <br />upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of active <br />operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report man to this form. The Annual Report & <br />Fee requirement is not met until we have received the following components: fee, report, and associated map. <br />If no new disturbances or reclamation have occurred durine the previous year and no new chances to the <br />previous vear's map are necessarv, then no new man is reauired, provided that the Operator shall state this in <br />the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the above <br />elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Stanley C. Jones <br />Permittee Name: <br />Address <br />Phone Number: <br />Fax Number: <br />Colorado Alabaster Supply <br />1507 N College Ave <br />Fort Collins, CO 80524 <br />(970) 221-0723 <br />(970) 221-0723 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />D WNe2 <br />Signature of orporate icer, Owner, or Designee <br />8 ? ao- 8' <br />Date <br />M:\PERMITVv1ASTERDOCUMENTS/M-AF-02.DOC