2017-01-19_GENERAL DOCUMENTS - M2012018

• Permit No: M2012018
• IBM Index Class Name: General Documents
• Doc Date: 1/19/2017
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Stone Canyon Quarry LLC
• To: DRMS
• Email Name: AME
• Email Name: SLB
• 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:
1,
Brenda Buster
Permittee Company:
Stone Canyon Quarry, LLC
Address:
2493 CR 37E
Lyons„ CO 80540
Phone Number:
[phone]
Fax Number:
Email Address:
[e-mail]
Permitting Contact:
Brenda Buster
Company:
Stone Canyon Quarry, LLC
Address:
2495 CR 37E
Lyon, Co 80540
Phone Number:
[phone]
Fax Number:
Email Address:
5'a We
Inspection Contact:
Brenda Buster
Company:
Stone Canyon Quarry, LLC
2495 CR 37E
Lyon, Co 80540
Address:
Phone Number:
[phone]
Fax Number:
Email Address:
7e
SO 07e-
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 o"ermittee, Corporate Officer. Owner. or Documented Designee
161 -AF 01
ate