2015-06-22_REPORT - M1995095

• Permit No: M1995095
• IBM Index Class Name: REPORT
• Doc Date: 6/22/2015
• Doc Name: Report
• From: Schuler Terracing
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
HenryA. Schuler
Permittee Company:
Schuler Terracing
Address:
P.O. Box 398
Simla, CO80835
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being,ponducted in accord ce wi the Division approved mining and reclamation plans.
(olzo �s
Signature ofPerfnittee, Corporate Officer, Owner, or Documented Designee
M -AF -01
Date