2016-09-08_REPORT - M2013054

• Permit No: M2013054
• IBM Index Class Name: Report
• Doc Date: 9/8/2016
• Doc Name: Signature page
• From: Boyce Land & Cattle Co., LLC
• To: DRMS
• Annual Report Year: 2016
• Email Name: SJM
• Media Type: D
• Archive: No

Page 5 of
Division records indicate the following perrna*ttee contact information. If this information is not current, please type or print
current contact information:
Perniittce Contact:
Ken Skoglund
hereby stats
Permittee Company:
Address:
Boyce Land & Cattle Co., LLC
P.O. Box 209
Moffat, CO 81143
information provided in this report is true and accurate., and that site operations are
Phone Number:
[phone]
in
Fax Number-.
[phone]
the
Email Address:
[e-mail]
L the
undersigned,
hereby stats
that
the
information provided in this report is true and accurate., and that site operations are
being
conducted
in
accordance
with
the
Divisi*oti approved ming and reclamation plans.
Signature of Permittee, Cor ate Officer, Owngr, or Documented Designee
_-01
i
Date