2015-08-03_REPORT - M1998038

• Permit No: M1998038
• IBM Index Class Name: REPORT
• Doc Date: 8/3/2015
• Doc Name: Annual Fee, Report & Map
• From: Kirkland Construction
• To: DRMS
• Email Name: TOD
• Media Type: D
• Archive: No

07/07/2015 TUE 9:38 FAX [phone] Kirkland Construction
2010/010
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:
Joe C. Baxtcr
Permittee Company:
Kirkland Construction, R.L.L.P.
Address:
P.O. Box 580
Rye, CO 81069
Phone Number:
[phone]
Fax Number:
[phone]
rEn-mil Address:`
1, 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.
,%-1-Y
of Permittee, Corporate OMeer, Owner, or Documented Desijinee Date
M -AF -n 1