2015-09-25_REPORT - M1979165

• Permit No: M1979165
• IBM Index Class Name: REPORT
• Doc Date: 9/25/2015
• From: Albert Frei and Sons, Inc.
• To: DRMS
• Annual Report Year: 2015
• Permit Index Doc Type: Annual Fee/Report
• Email Name: TOD
• 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 p�Snt
current contact information:
Permittee Contact:
Albert R. Frei
Permittee Company:
Albert Frei & Sons Inc.
<
Address:
P.O. Box 700
Henderson, CO 80640-0700
Phone Number:
[phone]
Fax Number:
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.
f7,-- -'�- I --
of Permittee, Corporate Officer, Owner, or Documented Designee
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Date