2017-03-28_REPORT - M2015010

• Permit No: M2015010
• IBM Index Class Name: Report
• Doc Date: 3/28/2017
• Doc Name: Annual Fee/Report/Map
• From: Castle Rock Construction Company of Colorado, LLC
• To: DRMS
• Annual Report Year: 2017
• Email Name: ERR
• 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: Ralph Bell
Permittee Company: Castle Rock Construction
Company of Colorado,LLC
Address: 6374 S. Racine Circle
Centennial, CO 80111
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Ralp Bell
Company: Castle Rock Construction
Company of Colorado, LLC
Address: 6374 S. Racine Circle
Centennial, CO 80111
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Ralph Bell
Company: Castle Rock Construction
Company of Colorado, LLC
Address: 6374 S. Racine Circle
Centennial, CO 80111
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
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.
03/14/17
Signature fl Permittee,Corporate Officer,Owner,or Documented Desilinee Date
M-AF-01