2016-01-26_REPORT - M2005070

• Permit No: M2005070
• IBM Index Class Name: Report
• Doc Date: 1/26/2016
• Doc Name: Annual Fee, Report & Map
• From: Ritchey's Redi-Mix Concrete, Inc.
• To: DRMS
• Annual Report Year: 2016
• Email Name: ERR
• 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: Jerry Ritchey
Permittee Company: Ritchey's Redi-Mix Concrete,
Inc.
Address: 509 S Idlewild St
Yuma,CO 80759
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 Division approved mining and reclamation plans.
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Signt a 'a of Per tee Corporate Off Owner,or Documented Designee Date
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M-AF-01
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