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ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Colorado Stone Quarries, Inc. ~~f•~t~'1 EQ <br />PERMIT NO.: M-1999-058 A~~ ~ Q ZQQ~ <br />OPERATION NAME: Yule Marble Quarry Division of ReGamauon, <br />Mining and Safety <br />ANNNERSARY DATE: August 20, 2007 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <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-disturbances !hat 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 attach your 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 />map. If no new disturbances or reclamation have occurred during the previous year and no new chances to <br />the previous year's man are necessary, then no new man 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 suffice for a written report. <br />Division records indicate the following pennittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: )ate ~~// / <br />SCOTT lY~ed~eV o.E7j~h~~iErG~ x.~~r~I~ <br />Permittee Name: Colorado Stone Quarries, Inc. <br />Address: <br />3 0 3 Gu , f~a,~-/ S p- <br />23-3+79 <br />Phone Number: ~ <br />Fax Number: <br /> <br />~7 ~0 - ZD 4~- gOo Z <br />470 ^70 ~- 4ozz <br />If you have additional comments and/or information that should be provided to the Division, please provide <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />ig cure of Corporate ice ,Owner, or Designee <br />~~~~z <br />Date <br />