2017-05-30_REPORT - M2006016

• Permit No: M2006016
• IBM Index Class Name: Report
• Doc Date: 5/30/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: McStone Aggregates, LLC
• Annual Report Year: 2017
• Media Type: D
• Archive: No

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Casey McClellan
Permittee Company:

McStone Aggregates, LLC
Address:

P.O. Box 1525
Dolores, CO 81323

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Douglas L. Conger
Company:

Geological Services
Address:

711 Hartman Rd.
Cortez, CO 81321

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Company:

Address:

Phone Number:

Fax Number:
Email Address:

I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01