REP26238

• Permit No: M1991080
• IBM Index Class Name: Report
• Doc Date: 11/22/2002
• Doc Name: Annual Report
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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- ANNUAL FEE and REPORT REOITEST RECEL 11ED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
Howard and Barbara Stone
M-1991-080
Stones Ranch Grav Pt
October 25, 2002
$281.00 (Due on or before your anniversary date)
Teller
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Division of Minerals and Geology
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
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamatidn accomplished to date and during the preceding year, new disturbances that are anticipated [o occur
during the upcoming year, reclamation [hat 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:
Permi[[ee Contact: Howard & Barbara Stone
Permittee Name: Howard and Barbara Stone
Address: 8292 Teller Rd., No. 1
Florissant, CO 80816
Phone Number: [phone]
If you have additional comments and/or information [ha[ should be provided [o [he Division, please provide it
below or attach it to this form along with your written report and map. Annual Report instmctions are enclosed.
Signature of Corporate Officer, Owner, or Designee
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Date
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