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~- <br />III IIIIIIIIIIIIIIII <br />ANNUAL REPORT <br />PERMTTTEE NAME: Stone Wholesale Corporation <br />PERMIT NO.: M-1997-065 <br />OPERATION NAME: Brownstone Quarry <br />ANNNERSARY DATE: October 22, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $281.00 <br />COUNTY: Larimer <br />C~~ -~ll`FS~ \~a~'~-off <br /> <br />ocr ~ n ~°,o <br />Division of Mineral;;... logy <br />".ccording-to ER:S~4-32-I-16F3jfaj~ each-yeaz, 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, <br />reclamation accomplished to date and during the preceding year, new disturbances that aze anticipated <br />to occur during the upcoming year, reclamation that will be performed during the coming yeaz, the <br />dates for the beginning of active operations, and the date active operations ceased for [he yeaz, if any. <br />Please attach your revised annual resort map and written report to this annual report. Please <br />note that an adequately labeled map thnt clearly de/ineates and includes the above elements ntay <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />ContactName:__eTjl+. ~TRIG~pw <br />Address: X1717 1,i1. Lpxtv/,Ew D2, <br />fv~r evcca~r , Co. ~p,taG <br />Company: SrD,u~ k/NOt.~SACE <br />Phone No.: (970 ) 221 • D0.5"7 <br />FAX No.: ( ) S.9m E <br />e-mail:_ __ <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />)D-3~D~ <br />Sign f Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:U'ERM 1'MA ASTERDOC UM EMSNI-AF-01 <br />