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r <br />;~ <br /> ANNiiAi. FF.F. and REPORT R~ iTF.ST <br />RECEIV~~ <br />P;ERMLLTEE NAME: Loukonen Bros. Stone <br />PERMIT NO.: M-2000-090 1AN 2 0 2006 <br />OPERATION NAME: Lykins Gulch Division of Minerals and I7eald <br /> gy <br />ANNIVERSARY DATE: February 1, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Boulder <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 <br />- - -siiaii-sabmit-ti~~-an>m~ai~e-a repor~ ~nTl~tsi~p showiifg the extent of current-d~`sturo`ances~o aiiecie~- ai nd; <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation [hat will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written anm~al rennrt and anneal re~nrt m n this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />clhanges: <br />Permittee Contact: Michael Loukonen <br />Permittee Name: Loukonen Bros. Stone <br />Address: 12993 N. Foothills Hwy. <br />Longmont, CO 80503 <br />Phone Number: <br />Fax Number: <br />(303) 823-6268 - <br />(303)823-0843 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />-_-s!~~' <br />Signature of Corporate Officer, Owner, or Designee <br />vi <br />Date <br />