2015-09-14_REPORT - M2001068

• Permit No: M2001068
• IBM Index Class Name: REPORT
• Doc Date: 9/14/2015
• From: Tamrock Gravel
• To: DRMS
• Annual Report Year: 2015
• 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:
BrentTamburelli
Permittee Company:
Tamrock Gravel LLC
Address:
137 East Plum St.
Trinidad, CO81082
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 Divi ' approved mini and reclamation plans.
Signature ofPermittee, Corporate Officer, Owner, or Documented Designee Date
M -A F-01