2001-10-30_REPORT - M1991080 - Laserfiche WebLink

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\ III IIIIIIIIIIIII III • 999 4 ANNUAL FEE and REPORT REOUEST PERMITTEE;NAME: Howard and Barbara Stone RECEIVED PERMIT NO.: M-1991-080 OCT 3 2001 OPERATION NAME: Stones Ranch Grav Pt ANNIVERSARY DATE: October 25,2001 Division of Minerals and Geology ANNUAL FEE DUE: $281.00(Due on or before your anniversary date) COUNTY: Teller 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 land, 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 annual report and annual report map to this form. Please note that an adequately labeled rnap 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: Permittee Contact: Howard & Barbara Stone Permittee Name: Howard and Barbara Stone Address: 8292 Teller Rd., No. Florissant, CO 80816 Phone Number: (719) 689-2277 Fax Number: 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. n / f .4 G /i ew 9lormfol W-1 S V/ S f4 Signature of Corporate Officer or Owner / 20a l W e ck t // Ca), 1,1ee T' yo 4, O ?c N� �' 1` yeai gXvAr1[` q B/qs �i, j Date 7 r-ezmI'T Gtf /!7g /P�iyl /5 � e /7` ry S /ThQ�p �f M:%PERMCMIASTERDOCUMEMSV.f-AF-01 //�