2017-03-29_REPORT - M2003021

• Permit No: M2003021
• IBM Index Class Name: REPORT
• Doc Date: 3/29/2017
• Doc Name: Annual Fee/Report/Map
• From: Ranch Land LLC dba Pioneer Sand Co Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• Media Type: D
• Archive: No

Page 5 of 5
Division records indicate the following permitteellandowner 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: Julie Sevier
Permittee Company: Ranch Land LLC dba Pioneer
Sand Co Inc
Address: 5000 Northpark Drive
Colorado Springs, CO 80918
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Angela Bellantoni
Company: Environmental Alternatives, Inc.
P
Address: 1107 Main St.
Canon City,CO 81212
Phone Number: [phone]
Fax Number: [phone]
Email Address-
Inspection Contact: Angela Bellantoni
Company: Environmental Alternatives, Inc.
Address: 1 107 Main St.
Canon City, CO 81212
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
be conducted in accordance with the Division approved mining and reclamation plans.
nature of Peritmttee,Corporate Officer,Owner,or Documented Desienee Oate
-AF-DI