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ANNUAL FEE and REPORT REQUEST <br />PERMITEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANN'1VERSARY DATE: <br />AI\NiJAL FEE DUE: <br />COUNTY: <br />Colorado Stone Quarries, Inc. <br />M-1999-058 tlYule Marble Quarry <br /> <br />August 20, 2008 <br />RECEIVED <br />JUL 2 p ?009 <br />Division of Declamation, <br />Mining and Safety <br />$323.00 (Due on or before your anniversary date) <br />Gunnison <br />According to C.R.S. 34-32-5-116 or C.R.S. 34-32-116, each year, Vbe 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 that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning of <br />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 require4ment is not met until we have received the following components: fee, report, and associated <br />may. If no new disturbances or reclamation have occurred during the previous near and no new changes to <br />the previous year's map are necessary then no new map is required provided that the Operator shall state <br />this in the Annual Report. Please note that an adequately labelecl may that clearly delineates and includes the <br />above elements nra)., suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Denis Doucet General Manager <br />Permittee Name: Colorado Stone Quarries, Inc. <br />Address: 303 W. Park Street <br />Marble, CO 816213 <br />Phone Number: (970) 704-9002 <br />Fax Number: (970) 704-9022 <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />Signature of Corporate Officer, Ow or I>e Egnee <br />? <br />Date