2005-08-23_REPORT - M1981075

• Permit No: M1981075
• IBM Index Class Name: Report
• Doc Date: 8/23/2005
• Doc Name: Annual Fee/Report/Map
• From: Phillips Stone Company
• To: DMG
• Media Type: D
• Archive: No

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22-AUG-2445 49:dT FROM-Colorado Division of Minerals 8 GeoloQY [phone] T-387 P.D42/442 F-821
~~ ~ ~ i
~~y~/~ RECEIVED
PERMITTEE NAME: Phillips Stone Compauy~b " `
PERMIT No.: ~-1981-ors ~UG 2 3 2005
OPERATION NAME: Phillips Stone Company imsion of Miner le cad Geomgy
ANNIVERSARY DATE: July 30, 2005
ANNUAL FEE DUE: $281.00 (Aue on or before your anniversary date)
COUNTY: Boulder
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 disrisbances to sffected 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 beginninb
of active operations, and the date active operations ceased for the year, if any. -~,~ ~~
Please attach vnur revised written_sunnalJ'elloxtand anm~at rennrt man to this form_ Ple_a_sJe note that an
adequately labeled r»ap that clearly delineates anrt includes the above elements may since for a written report. ,
Division records indicate the fallowing petmittee contact information. Please verify and ma;<e any necessary
changes:
petrnittee Contact: Robert 7. Phillips
Permittee Name: Phillips Stone Company; ~-t1b.
Address: 7850 Ute Hwy
Longmont, CO 80503
Phone Number: [phone]
Fax Numbers [phone]
ff 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. Atmual Report instructions are enclosed.
`_~`~~~ Y ° I ~d
Signapriue of Co/,rporate Offi r, Owner, Designee
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Dat