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Cv~1~i <br />Ll/~'~- <br />i <br />i <br /> AINMiAi. FF.F. and RF.P[)RT RF.[1i117 :C7' <br /> RECEIVED <br />PERivIl1'TEE NAME: ~ ~sntcins Stone Co., Inc. <br />PERMIT NO.: ~M-2000-154 ~ AIIG 0 9 2006 <br />OPERATION NAME: Hankins Stone Qnarry #I ~/~ivision of Reclamation, <br />Mining and Safety <br />ANNIVERSARY DATE: Angast 20, 2006 <br />ANNUAL FEE DUE: $688.00 (Dae on or before your anniversary date) <br />COUNTY: San Mignel <br />According to C.R.S. 3432.5-116 or C.ILS. 3432-116, each year, on the anniversary date of the permit, an operator <br />.- -shall submit the--annual fee; a-rapoit=aiid=snap sliowirig the-extenrofcm2ent-ttisttirisectces-to affecfad land;' <br />recla~tien accomplished to date and during the preceding Year, new disturbance.4 that are anticipated w occur <br />during the upcoming year, rechurmtion that will be perforated 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 ynnr revived written anneal report and anneal rppnrt m~ to this fnrm_ Ple43e note t/lat an <br />adequately labeled map that clearly delineates and tncludes the above elements may su„~ce for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Steve Hankins <br />Permittee Name: Ilankins Stone Co., Inc. <br />Address: P.O. Box 164 <br /> Dove Creek, CO 81324 <br />Phone Number: (970) 677-2830 <br />Fax Numbei: _ (970) 677-2830 _ .. _ _ _ - - - - - - - <br />If you have additia~ttat 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. Amoral Report instructions are enclosed. <br />~~ <br />Signature of Cotlwrate Officer, Owner, or Designee <br />~i~- t~t~ <br />Date <br />