2015-02-17_GENERAL DOCUMENTS - P2000023

• Permit No: P2009023
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 2/17/2015
• Doc Name: Returned mail - RTB letter
• From: USPS
• To: DRMS
• Email Name: MAC
• Email Name: TAK
• Email Name: AJW
• Media Type: D
• Archive: No

Page 4 of 4
Division records indicate the following permittee/landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
Mike Joosten
Permittee Company:
Mike Joosten
Address:
7775 E. 124th Dr.
Thornton, CO 80602
Phone Number:
(720) 201 -0258
Fax Number:
Email Address:
CF.PR.email
Landowner Contact:
Landowner Address:
Landowner Phone
Number:
Landowner Email
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved NOI and reclamation plans. Rule 5.6.1(h).
Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date