2005-11-16_REPORT - M1998080

• Permit No: M1998080
• IBM Index Class Name: Report
• Doc Date: 11/16/2005
• Doc Name: Annual Fee/Report/Map
• From: H & H Stone
• To: DMG
• Media Type: D
• Archive: No

PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
~ H/& H Stone
s~M-1998-080
H & H Quarry #2
November 27, 2005
~~i e
RECE-VED
'~VO~ -`6
~t)lYIS10n o/ Minerals antl Geolo9Y
$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-axtent-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 ynnr revised written anm~al re~nrt and annual re~prt maTtn 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: ~Ia13~eHey
Permittee Name: H & H Stone
Address: P.O. Box 250
Phone Number:
Fax Number:
Dove Creek, CO 81324
[phone]
[phone]
,~,~ ~~Pv ~- ~,- ~ !!e~
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 O€€Vner, or Designee
At=kP~
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Date