2010-02-16_REPORT - M1987028 - Laserfiche WebLink

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Per ANNUAL FEE and REPORT REOUEST PERMITTEE NAME: Colorado Marble, Inc. PERMIT NO.: M-1987-028 FEB 16 2010 OPERATION NAME: Lily Mines -,q??pn of Keclama?oR, ANNIVERSARY DATE: March 18, 2010 ??'' Mining and Sd* ANNUAL FEE DUE: $791.00 (Due on or before your anniversary date) COUNTY: Chaffee 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 accomplished' to date -and during the preceding year, new disturbances that ar`e 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 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 chances to the previous vear's map are necessarv. then no new map is reauired, 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: Vince Sadowski Permittee Name: Colorado Marble, Inc. Address: 3490 Piedment Rd., Suite 1300 Phone Number: Fax Number: (404) 634-9100 (678) 417-4700 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. ignature of Corporate Officer, Owner, or Designee 2-ll-CC7 Date