2009-09-10_REPORT - M1985212

• Permit No: M1985212
• IBM Index Class Name: REPORT
• Doc Date: 9/10/2009
• Doc Name: Annual Fee/Report/Map
• From: Arkins Park Stone Corp.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: MAC
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
4 - A
f.. ck O T RE QUEST
ANNUAL
PA, rkins Park Stone Corp.
.'-1985-212
Arkins Park Quarries
September 5, 2009
Met c eqL
RECEIVEZ)
SEP 1.
7009
Division of Rcclamaficn,
4o Mining Gnc+
$$791.00 (Due on or before your anniversary date)
Larimer
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 showing the extent of current disturbances to affected land,
reclamation_accomolished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed durmg the coming year, tffe-date`s 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 annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new map is required, provided that the Operator shall state
this in the Annual Report. 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: Judy Sprague
Permittee Name: Arkins Park Stone Corp.
Address: 5975 NCR 27
Phone Number:
Fax Number:
Loveland, CO 80538
[phone]
[phone]
If you have additional comments and/or information that should be
be taw or ttach it this form along with your written report and map.
Signature of Corporate Officer, Owner, or Designee
provided to the Division, please provide it
Annual Report instructions are enclosed.
1,51 ci9
Date