REP25831

• Permit No: M2000154
• IBM Index Class Name: Report
• Doc Date: 7/11/2002
• Doc Name: 2002 Annual Report
• From: H & H Stone Co. Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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ANNUAL FEE and REPORT REQUEST
PERMI'I'T'EE NAME: H & H Stone Co., Ine. RECEIVE D
PERMfI'NO.: M-2000-154 ~U~ ~ ~ ZOOP
OPERATION NAME: H & H Stone Quarry # 3
Oi~ision of Minerals and Geology
ANNNERSARY DATE: August 20, 2002
ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date)
COUNTY: San Miguel
According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on [he 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 aze.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 yeaz, if any.
Please attach vour revised written annual report and annual resort 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:
Permittee Contact: Fred Holley
Permittee Name: H & H Stone Co., Inc.
Address: 303 W. 3rd
P.O. Box 162 ~Z` S~D y `~ S L
Dovecreek, CO 81324 ~n/p ~~~ ~ ~ t1 g (~ a~
Phone Number: [phone]
q-70- X07`7- ~'llo`-J
_Fax Nu_mber:_ __ [phone]_ _: _ _ _ ___ _ _ _,__~~_ __ _ _ _
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.
Signature of Corporate Officer or Owner
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Date
M dPERM7TNIASTERD000MEMSN-I-AF-01