2006-01-05_REPORT - M1981107

• Permit No: M1981107
• IBM Index Class Name: Report
• Doc Date: 1/5/2006
• Doc Name: Annual Fee/Report/Map
• From: ELB Stone Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

C:~ M
PERMITTEE NAME:
PERMff NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ELB Stone, Inc.
M-1981-107
Buster Quarries
January 8, 2006
RECEIVED
JAN 0 5 2006
Division of Minerals and Gealag~
$688.00 (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
reclamation accomplished to date and during the preceding year, new disturbances 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 anneal renort and annual re net m n to this form. 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: ,,~s~~
Permittee Contact: Bernard R. Buster iy~~ ""`"~' ° /
Permittee Name: ELB Stone, Inc
Address: 2493 CR 37 E.
Lyons, CO 80540
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 farm along with your written report and map. Annual Report instructions are enclosed.
~~
Signature of Corporate Officer, Owner, or Designee
~/.~/06
Da e