2017-02-21_REPORT - M2007010

• Permit No: M2007010
• IBM Index Class Name: Report
• Doc Date: 2/21/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Weber Sand & Gravel, Inc.
• Annual Report Year: 2017
• 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:

Andy Weber
Permittee Company:

Weber Sand & Gravel, Inc.
Address:

2980 E. Hwy. 160
Pagosa Springs, CO 81147

Phone Number:

[phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:

Matt Carnahan
Company:

Matt Carnahan
Address:

P.O. Box 1951
Bayfield, CO 81122

Phone Number:

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

Andy Weber and Matt Carnahan
Company:

Weber Sand & Gravel, Inc.
Address:

2980 E. Hwy. 160
Pagosa Springs, CO 81147

Phone Number:

[phone]
Fax Number: [phone]
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