2017-02-22_REPORT - M2006073

• Permit No: M2006073
• IBM Index Class Name: REPORT
• Doc Date: 2/22/2017
• Doc Name: Annual Fee/Report/Map
• From: Sundance Investments, LLP
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• 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: Mike Drabing
Permittee Company: Sundance Investments LLP
Address: 900 Castleton Rd Suite 115
Castle Rock, CO 80109
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact: Mike Drabing
Company: Sundance Investments LLP
Address: 900 Castleton Rd Suite 115
Castle Rock, CO 80109
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact: Mike Drabing
Company: Sundance Investments LLP
Address: 900 Castleton Rd Suite 115
Castle Rock, CO 80109
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
1,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in cordance with Division approved mining and reclamation plans.
Signs ure of P-ermittee Coro to Officer,Owner,or Documented Designee Date
M-AF-01