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r <br />Y <br />?- INCE1fED <br />ANNUAL FEE and REPORT REQUEST <br />/ `I 2 0 Zola, <br />PERMITTEE NAME: Colorado Stone Quarries, Inc. P1 Otf?ilDll?r??;,aoaation, <br />PERMIT NO.: ? M-1999-058 <br />OPERATION NAME: Yule Marble Quarry <br />ANNIVERSARY DATE: August 20, 2010 <br />ANNUAL FEE DUE: $323.00 (Due on or before your anniversary date) <br />COUNTY: Gunnison <br />Q <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 disturbances of_ current di turban ant cip tedte occur <br />reclamation accomptished to date and during the preceding year, 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 our revised written annual report and annual report ma 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 revious year and no new changes to stat the previous ears ev malp rtre necessary, <br />note that an adequately labeled map that cl eary deliinea es and inchludes the <br />this in n the Annual R <br />above elements may 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: Cedric Beggar <br />Permittee Name: Colorado Stone Quarries, Inc. <br />Address: 200 Georgia Stone Lane <br />P.O. Box 238 <br />Tate, GA 30177 <br />Phone Number: (770) 735-2611 <br />Fax Number: (770) 735-2236 <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 />Y icer, Owner, or Designee <br />Signature o Co <br />o8 -solo <br />Date