2017-01-06_REPORT - M1980183

• Permit No: M1980183
• IBM Index Class Name: REPORT
• Doc Date: 1/6/2017
• Doc Name: Annual Fee/Report/Map
• From: Brannan Sand and Gravel Company, L.L.C.
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• 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: Fred J.Marvel
Permittee Company: Brannan Sand and Gravel
Company,L.L.C.
Address: 2500 E Brannan Way
Denver, CO 80229
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:
Company: —-
Address:
Phone Number: ---- - �---------
Fax Number: T
Email Address:
Inspection Contact: Fred J.Marvel
Joshua Oliver
Company: Brannan Sand&Gravel Brannan Sand and Gravel Company, LLC
Company
Address: 2500 East Brannan way 2500 E. Brannan Way, Denver, CO 80229
Denver,CO 80229
Phone Number: [phone]
303-472-1736
Fax Number: [phone] 303-534-1236
Email Address: [e-mail]
[e-mail]
I,the undersigned,hcreby 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.
Si a of Per 'tte or o ate Officer Owner.or Documented Designee Date
M-AF-01