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~5~ <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />'Stone Wholesale Corporation <br />'~M-1997-065 <br />'Brownstone Quarry <br />October 22, 2006 <br />i~zL <br />i o ~~ -~> <br />R~C~F~\/!~D <br />'~OCT 0 4 2006 <br />~ivision of Reclamation, <br />Mining and Safety <br />$281.00 (Due on or before your anniversary date) <br />Larimer <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 />_-_realamar;nn a~cmm~l;chPdlo_clate anri during_the_preceding_yeac,~ew_dish~rbance.~that areanticipated_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 your revised written annual report and annual resort maa to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />maa. If no new disturbances or reclamation have occurred durinti the arevious year and no new chanties to <br />the arevious year's map are necessary, then no new map is required. urovided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labeled map that clearly delineates and includes the <br />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: Jim Striggow <br />Permittee Name: Stone Wholesale Corporation <br />Address: 11587 N. U.S. Highway 287 <br />LaPorte, CO 80535-9708 <br />Phone Number: (970) 221-0057 <br />Fax Number: <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 /> <br />