2016-01-15_REPORT - M2001022

• Permit No: M2001022
• IBM Index Class Name: Report
• Doc Date: 1/15/2016
• Doc Name: Annual Fee, Report and Map
• From: Loveland Ready Mix Concrete, Inc.
• To: DRMS
• Annual Report Year: 2016
• Email Name: PSH
• 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:
Stephanie Fancher
Permittee Company:
Loveland Ready Mix Concrete,
Inc.
Address:
P.O. Box 299
Loveland, CO 80539-0229
Phone Number:
[phone]
Fax Number:
[phone]
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 Divisio,-proved mining and reclamation plans.
Ale
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Signa o Permit ee, Corporate Officer, Owner, or Documented Designee Date
M -AF -01