2017-02-21_M2013066_Annual Fee Notice ARCHIVE

• Permit No: M2013066A
• IBM Index Class Name: Report
• Doc Date: 2/21/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Arboles Sand & Stone, 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:

Steve and Joyce Wright
Permittee Company:

Arboles Sand & Stone, LLC
Address:

12577 Highway 151
Pagosa Springs, CO 81147

Phone Number:

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

Nathan A. Barton,
Company:

Wasteline, Inc
Address:

11501 CR 34
Mancos, CO 81328

Phone Number:

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

Steve and Joyce Wright
Company:

Arboles Sand & Stone, LLC
Address:

12577 Highway 151
Pagosa Springs, CO 81147

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