2016-11-28_REPORT - M2003058

• Permit No: M2003058
• IBM Index Class Name: REPORT
• Doc Date: 11/28/2016
• Doc Name: Annual Fee/Report/Map
• From: Glenn E. Sessions & Sons, 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/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: Jaime Sessions
Permittee Company: Glenn E Sessions&Sons,Inc.
Address: 33492 Hwy 125
P.O.Box 1076
Walden,CO 80480
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:
Company: Glenn E Sessions&Sons,Inc.
Address: 33492 Hwy 125
P.O.Box 1076
Walden,CO 80480
Phone Number: [phone]
Fax Number: [phone]
Email Address:
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Inspection Contact: �X7V- 5YE ;55%0r'S
Company: Glenn E Sessions&Sons,Inc.
Address: 33492 Hwy 125
P.O.Box 1076
Walden,CO 80480
Phone Number: [phone]
Fax Number: [phone]
Email Address:
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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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Sign re of Pe ee Corporate Officer Owner,or Documented Designee Date
M-AF-01