2015-07-21_REPORT - M2010048

• Permit No: M2010048
• IBM Index Class Name: REPORT
• Doc Date: 7/21/2015
• Doc Name: Annual Fee, Report & Map
• From: Castle Rock Construction
• To: DRMS
• Email Name: AME
• Media Type: D
• Archive: No

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Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Ralph Bell
Permittee Company:
Castle Rock Construction
Company of Colorado, LLC
Address:
6374 S. Racine Circle
Centennial, CO 80111
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 conducted in accordance with the Division approved mining and reclamation plans.
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Signature of Pe mittee, Corporate Officer, Owner, or Documented Designee Date
M -AF -01