2016-12-16_M1977223_Annual Fee Notice ARCHIVE

• Permit No: M1977223A
• IBM Index Class Name: Report
• Doc Date: 12/16/2016
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Five Rivers Ranch Cattle Feeding 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:

Doug Morris
Permittee Company:

Five Rivers Ranch Cattle
Feeding LLC

Address:

2258 US HWY 50
Lamar, CO 81052

Phone Number:

[phone]
Fax Number:
Email Address:
Permitting Contact:

Joe Gagliano
Company:

L J Development
Address:

256 N. Merrill Drive
Pueblo West, CO 81007

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Doug Morris
Company:

Five Rivers Ranch Cattle
Feeding LLC

Address:

2258 US Hwy 50
Lamar, CO 81052

Phone Number:

[phone]
Fax Number:
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.

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