2016-11-16_M1999042_Annual Fee Notice ARCHIVE

• Permit No: M1999042A
• IBM Index Class Name: Report
• Doc Date: 11/16/2016
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Avalanche Creek Marble & Alabaster LLC
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

Page 5 of 5

Division records indicate the following permittee/landowner contact information (blank fields indicate that we do not have
information on record). If this information is blank or not current , please type or print current contact information:

Permittee Contact:

Robert Cogdon
Permittee Company:

Avalanche Creek Marble &
Alabaster LLC

Address:

1002 Cooper Unit A
Glenwood Springs, CO 81601

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Company:

Address:

Phone Number:

Fax Number:
Email Address:
Inspection Contact:

Robert Congdon
Company:

Elbram Stone LLC
Address:

801 Colorado Avenue
Glenwood Springs, CO 81601

Phone Number:

[phone]
Fax Number:
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 Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01