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iw = <br />~w'L <br />,/ ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: / Colorado Stone Quarries, Inc. <br />PERMIT NO.: ~ M-1999-058 <br />OPERATION NAME: Yule Marble Quarry <br />ANNIVERSARY DATE: August 20, 2006 <br />ANNUAL FEE DUE: $281.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <br />~~z <br />s--3o-~ <br />RR~~IV~L? <br />~ AUG 28y~ps <br />~D Minin of ReGamatlon, <br />9 and gam <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 />-- reelamation-accomplished-ta-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_attachyour revised written annual report and annual report map to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee, report, and associated <br />man (All are required regardless of the level of disturbance or absence of disturbance during the previous <br />year). Please note that an adequately labeled map that cdearly delineates and includes the above elements may <br />suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Francois Darmayan <br />Permittee Name: Colorado Stone Quarries, Inc. <br />Address: 200 Georgia Marble Ln <br />?O 1"3 ox /'179 <br />Tate, GA 30177 <br />Phone Number: (770) 735-2611 <br />Fax Number: <br /> <br />yl~' ~ 52 - y~1/9 <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 />/v <br />Signature of orporate Officer, Owner, r Designee <br />a 8/z2/ZooG <br />Date <br />