REP51589

• Permit No: M1998080
• IBM Index Class Name: Report
• Doc Date: 11/4/2002
• Doc Name: 2002 Annual Report
• From: H & H Stone
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

RECEIVED
PERMITTEE NAME:
PERMIT NO,:
OPERATION NAME:
ANNNERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
ANNUAL FEE and REPORT REQUEST
H & H Stone
M-1998-080
H & H Quarry #2
November 27, 2002
NOV 0 4 Y00P
Division of Minerals and Geology
$281.00 (Due on or before your anniversary date)
Dolores
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 ro affected land, _
reclamation accomplisfied-to date and dining the preceding year, riew dis~uibances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, [he 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 since 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
Address: P.O. Box 162 ~ ~~ `/ nt ~~~
Dove Creek, CO 81324
Phone Number: [phone]
Fax Number: [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 instmctions are enclosed.
Signa~CorpoJ' r ter, Owner, or Designee
ffJ-ap-a 2.
Date
M:~PER MnN~IASTERDOCUMENTSVvt-AF-01