2017-02-03_REPORT - M2000080

• Permit No: M2000080
• IBM Index Class Name: Report
• Doc Date: 2/3/2017
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following pernuttecdandowner 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: Julie Sevier
Permittee Company: Pioneer Sand Company, Inc.
Address: 5000 Northpark Dr
Colorado Springs, CO 80918
Phone Number: [phone]
Fax Number: _.(2lJ9449138S stir
Email Address: [e-mail]
Permitting Contact: Angela M.Bellantoni
Company: Environmental Alternative, Inc.
Address: 1107 Main Street
Canon City,CO 81212
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Inspection Contact: Wayne Brantley
Company: Pioneer Sand Company Inc
Address: 5000 Northpark Dr.
Colorado Springs, CO 80933
Phone Number: [phone]
Fax Number: 7-14)-599--H 8 2 �
V
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 ruining and reclamation plans.
t
Si ature of Permittee, Corporate Officer,Owner,or Documented Designee Date
11F--01