2017-02-01_REPORT - M1994108

• Permit No: M1994108
• IBM Index Class Name: Report
• Doc Date: 2/1/2017
• Doc Name: Annual Fee/Report Notice
• From: DRMS
• To: Operator
• 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:

Rick Noland
Permittee Company:

Noland Inc.
Address:

40325 Hwy. 160
P.O. Box 23
Mancos, CO 81328-8976

Phone Number:

970-533-7774
Fax Number: 970-533-7774
Email Address: [e-mail]
Permitting Contact:

Frank Noland
Company:

Noland Inc.
Address:

40325 Hwy. 160
P.O. Box 302
Manco, CO 81328

Phone Number:

303-533-7557
Fax Number:
Email Address:
Inspection Contact:

Rickey F. Noland
Company:

Noland Inc.
Address:

P.O. Box 23
Mancos, CO 81328

Phone Number:

303-533-7774
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