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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />FEE nd PORT REQUEST <br />4Arkins Park Stone Corp. <br />vll?-1985-212 <br />Arkins Park Quarries <br />September 5, 2008 <br />RECEIVED <br />1-3/EP ?EP 15 608 <br />Division of Reclamation, <br />4 Mining and Safety <br />$791.00 (Due on or before your anniversary date) <br />Larimer <br />o1'e-, <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 shall <br />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 disturbanees-that-are-anticipated-to-occur-during-the-upcoming--- <br />year, reclamation that will be performed during the coming year, the dates for the beginning of active operations, and <br />the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report may to this form The Annual Report & Fee <br />requirement is not met until we have received the following components: fee, report, and associated map. If no <br />new disturbances or reclamation have occurred durin the previous year and no new chances to the previous <br />year's map are necessary, then no new map is required, provided that the Operator shall state this in the Annual <br />Report. Please note that an adequately labeled map that clearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary changes: <br />Permittee Contact: Judy Sprague <br />Permittee Name: "ins P Stone Corp. <br />Address: 5975 NCR 27 <br />Loveland, CO 80538 <br />Phone Number: . (970) 663-1920 <br />Fax Number: (970) 663-2315 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below or <br />attach it to this form along with your written report and map. Annual Report instructions are enclosed.