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~~~ <br />/~ J <br />Y'" <br />PERMITTEE NAME: Colorado Stone Quarries, Inc. ~~~' ~w~® <br />PERMITNO.: M-1999-058 ~.;~ .i 1 2~~4 <br />OPERATION NAME: Yule Marble Quarry pivision of Minerals and Geology <br />ANNIVERSARY DATE: August 20, 2004 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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 />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />a w.muuuvu owwueumw.u w uuw w.u uui.us u.u N. w~.uwr, y.,uy ua.W u.o.u. uuuuw u.aroac-a.ua~.aksa,a,u-•u-wa.un --.-_ <br />during the upcoming year, reclamation that 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 y nor revised written anneal re~nnrt and anneal rennrt man to 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 />changes: <br />Permittee Contact: Norman D. Girard <br />Permittee Name: Colorado Stone Quarries, Inc. <br />Address: 200 Georgia Marble Ln <br />Tate, GA 30177 <br />Phone Number: (770) 735-2611 <br />Fax Number: <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corp ate Officer, Owner, or Designee <br />~- ~ ?-O~/ <br />Date <br />