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<br />r=.' <br />PERMTfTEE NAME: <br />z,; <br />PERlv);I'I' NO.: <br />OPERATION NAME: <br />ANNNERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />~F ~ ~P-r <br />ANNUAL FEE and REPORT RE VEST <br />Blue Mountain Stone <br />M-1981-108 <br />Beech Hill Quarries <br />August 29, 2007 <br />$791.00 (Due on or before your anniversary date) <br />Larimer <br />RECEIVED / <br />SEP 2 4 ZOU7 / <br />Division of Reclamatlon, j <br />Mining and Safety <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 />- reclamation-accomplished-to-date-and_during.the_preceding_year,_new_disturbancesYhatare_anticipatedsomccur <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 vour revised written annual report and annual report man to this form. The Annual Report <br />& Fee requirement is not met until we have received the following components: fee. report. and associated <br />map. If no new disturbances or reclamation have occurred durinc the previous vear and no new chances to <br />the previous year's map are necessary. then no new map is required, provided that the Ouerator 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: Abe Vasquez <br />Permittee Name: Blue Mountain Stone <br />Address: 4168 Ute Hwy. <br />Longmont, CO 80503 <br />Phone Number: (303) 823-9625 <br />Fax Number: (303) 823-6888 <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 />' ature f Corporate OfScer, Owner, or Designee <br />Y-ZY~a~ <br />Date <br />