2001-04-16_REPORT - M1996076

• Permit No: M1996076
• IBM Index Class Name: Report
• Doc Date: 4/16/2001
• Doc Name: Annual Fee/Report/Map
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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ANNUAL I 999 DUEST
' PERMITTEE NAME: Western Slope Flagstone
PERMIT NO.: M-1996-076
OPERATION NAME: Western Slope Flagstone Quarry No. 2
ANNIVERSARY DATE: April 16, 2001
ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date)
COUNTY: Mesa
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RECEIVED
APR 16 2001
Division of Minerals and Geology
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 [he 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 map That clearly delineates and includes d7e above elements may suffice jor a wrhten
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Permittee Contact: Rudolph Fontanari
Permittee Name: Western Slope Flagstone
Address: 3316 E. 3/4 Rd. - Rt. 1
Clifton, CO 81520
Phone Number: [phone]
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.
Signa e of Corporate Officer or Owner -sff_ ~s~~ -,~,ldy,
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Date
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