2001-01-10_REPORT - M1997054

• Permit No: M1997054
• IBM Index Class Name: Report
• Doc Date: 1/10/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

99
ANNUAL r r,r, anu 9,i , ... ..d.OUEST
PERMITTEE NAME: Agile Stone Systems,Inc. RECEIVED
PERMIT NO.: M-1997-054 JAN 10. 2001
OPERATION NAME: Parkdale Project Division of Minerals and Geology
ANNIVERSARY DATE: January 11,2001
ANNUAL FEE DUE: $688.00(Due on or before your anniversary date)
COUNTY: Fremont
According to C.R.S. 34-32.5-1 16 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 disturbances to affected
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
beginning of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a written
report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
PermitteeContact: Mark Johnson Dauid ShorT
Pennittee Name: Agile Stone Systems, Inc.
Address: 31 N. Tejon St. PO Bo,& lod-io
Colorado Springs, CO 80903 Canon
r
Phone Number: [phone] CPU
Fax Number: [phone] C-7 It a7 S -2-1;Q
If 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. Annual Report instructions are
enclosed.
J 'V J,/, �V. i
Signature of Corporate Officer or ner
/- � I
Date
M.IPERMIT,MASTERDOC UMENTSN1-.AF-01