2015-08-31_REPORT - P2008043

• Permit No: P2008043
• IBM Index Class Name: REPORT
• Doc Date: 8/31/2015
• From: Powertech USA, INC
• To: DRMS
• Annual Report Year: 2015
• Permit Index Doc Type: Annual Fee/Report
• Email Name: THM
• Media Type: D
• Archive: No

Division records indicate the following permittee/landowner contact information. If this information is not current, please
type or print current contact information: Rule 5.6.1(a, b).
Permittee Contact:
John Mays
Permittee Company:
Powertech (USA) Inc.
Address:
5575 DTC Pkwy., Suite 140
Greenwood Village, CO 80111
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Landowner Contact:
Landowner Address:
Landowner Phone
Number:
Landowner 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 NOI and reclamation plans. Rule 5.6.1(h).
Signature of
P -AF -01
8 ,o27 /S
Owner, or Documented Desi(nee 6ate