REP36548

• Permit No: M1991037
• IBM Index Class Name: Report
• Doc Date: 5/13/2002
• Doc Name: 2002 Annual Report
• From: Monarch Stone Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

t1AY-09-02 14:26 FROM-Colorado Division of Minerals & Gaolasy
[phone]
RECEIVED
PE1tMTTTEE NAME:
PE)tMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and i(LEPORT REQUEST
T-569 P.003/003 F-139
MAY i 3 2002
11~Tonarch Stone Company
M-1991-037
Katuska Pit
May 3, 2002
$281.00 (Due on or before your anniversary date)
Park
Oivislon of Minerals and Geology
According to C.R.S. 3432.5-116 or C.R.S, 3432-116, 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,
reclamarion accomplished to date and daring the preceding year, new disturbances that aze anticipated to occur
during the upcoming year, reclamation that will be performed during the comin; year, the dates for Che beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach vour revised written annnal report and annual report man to this form. Please note that an
adequately labeled map that clearly delineates and includes zhe above elemenn ,nay suffice far a written report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Petmittee Contact: Anthony I. Kirnmiclc
Permittee Name: Monarch Stone Company
Address: 6260 S. Vivian St.
1_ittlemn, CO 80127
Phone Number:
Pax Number:
[phone]
[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 form along with your written report and trap. Annual Report instructions are enclosed.
~ r
Sia ature of Corporate Officer or Owner
S, ~ ~~ o
Date

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