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<br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Arkins Park Stone Corporation <br />M-1985-211 <br />Berthoud Pink Quarry <br />Apri129,2003 <br />$281.00 (Due on or before your anniversary date) <br />Larimer <br />APR 2 5 2003 <br />Division of Minerals and Geology <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 />shalt'sub'mtt'tlse annuat-f'e~; a report`and-trap-showing-the`extenrof-cmrem-disturbances-to-affected-land,- - <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <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 wy~r revised written anneal report and anneal report m~ to this form- Please note that an <br />adequately Labe/ed map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: T~eq~aiaer <br />Permittee Name: Arkins Park Stone Corporation <br />Address: 5975 NCR 27 <br />Loveland, CO 80538 <br />Phone Number: (970) 663-1920 <br />Fax Number: <br />~t~eS1 VCt ~Gl'~Z <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 />Si re of rpora[ tce , weer, or Designee <br />ay a3 <br />Date <br />M:~PERM ITV.1ASTERD000MENTSUI-AF-01 <br />