2008-06-19_REPORT - M1987088

• Permit No: M1987088
• IBM Index Class Name: REPORT
• Doc Date: 6/19/2008
• Doc Name: Annual Fee/Report/Map
• From: Hubbs III, LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: WHE
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
I
AxxdF
FEE and PORT REQUEST
<-Hubbs III, LLC
_31=1987-088
Hubbs Pit
July 14, 2008
$$791.00 (Due on or before your anniversary date)
La Plata
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why
ED
"JUIV 19 2008
-orvi-S-10n of Re0amation,
'Wining and Safety
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,
reclamation-accomplished-to-date-and-during-the-preceding-year,-new disturbances that are 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 year, if any.
Please attach your revised written annual report and annual report map to this form. The Annual Report
& Fee requirement is not met until we have received the following components: fee, report, and associated
map. If no new disturbances or reclamation have occurred during the previous year and no new changes to
the previous year's map are necessary, then no new may is required, provided that the Operator shall state
this in the Annual Report. 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: Barbara E. Hubbs
Permittee Name: Hubbs III, LLC
Address: 7994 E Saddleback Dr
Kingman, AZ 86401
Phone Number: [phone]
Fdtnnher,
Erna: l bh.ubbs? fOri?: err?e?, n_?}.__
If you have additional comments and/or information that should be providM j4j%the? Division, please provide it
below or attach it to this form along with your written report and map. AniuatReport., -instructions are enclosed.
Signature of Corporate Officer, Owner, or Designee
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Date