2015-08-20_REPORT - M2001114

• Permit No: M2001114
• IBM Index Class Name: REPORT
• Doc Date: 8/20/2015
• Doc Name: Annual Fee, Report & Map
• From: Loukonen Bros
• To: DRMS
• Email Name: ECS
• Media Type: D
• Archive: No

Division records indicate the following permittee contact information.
print current contact information:
( ,
Page 5 of
If this information is not current, please type o
Permittee Contact:
Michael Loukonen
Permittee Company:
Loukonen Bros. Stone Company
Address:
12993 N. Foothills Hwy
Longmont, CO 80503
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.
of Permittee. Corrporate Officer, Owner, or Documented Designee Date
M -AF -01