2015-09-01_REPORT - M2003002

• Permit No: M2003002
• IBM Index Class Name: REPORT
• Doc Date: 9/1/2015
• From: HCR
• To: DRMS
• Annual Report Year: 2015
• Email Name: TOD
• 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:
James D. Branch
Permittee Company:
HCR High Country Repair
Address:
8562 Cuerna Jude Rd
Rye, CO 81069
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
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.
,'tea y6 / 2 -7
of Permittee, Corpora a Officer, Owner, or Documented Designee e