2015-06-01_REPORT - M2009018

• Permit No: M2009018
• IBM Index Class Name: REPORT
• Doc Date: 6/1/2015
• Doc Name: Annual Fee, Report & Map
• From: Varra Companies, Inc;.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

Page 4 of 4
Permittee Contact:
Christopher L. Varra
Permittee Company:
Varra Companies, Inc.
Address:
8120 Gage St.
Frederick, CO 80516
Phone Number:
[phone]
Fax Number:
Email Address:
CF.PR.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 mining and reclamation plans.
W4404'. -C"
Signature of Permittee, Corporate Officer, Owner, or Documented Designee
Date