2006-07-19_REPORT - M1992058

• Permit No: M1992058
• IBM Index Class Name: Report
• Doc Date: 7/19/2006
• Doc Name: Annual Fee/Report/Map
• From: DMG
• To: Colorado Quarries Inc.
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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PERMTITEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
>/ANNUAL FEE and REPORT REQUEST
Colorado Quarries, Inc.
(~ M-1992-058
Mica White
August 5, 2006
RECE9VE®
~.1UL 19 ZU06
~ivision of Minerals and Geology
$281,00 (Due on or before your anniversary date)
Fremont
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 ]and,
_ reclamation. accomplished_to.date and_during_the_preceding_year,.new_disuvbances.that-are-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 resort man to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map (All are required regardless of the level of disturbance or absence of disturbance during the previous
year}. Please note that an adequately labeled map that clearly delineates and includes the above elements may
since for a written repord.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Bill Tezak
Permittee Name: Colorado Quarries, Inc.
Address: 270 S. 15th St.
Canon City, CO 81212
Phone Number: [phone]
Fax Number: [phone]
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.
f
gnature of C orate Officer, Owner, or Designee
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Date
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