2017-01-17_REPORT - M2013002

• Permit No: M2013002
• IBM Index Class Name: Report
• Doc Date: 1/17/2017
• Doc Name: Annual Fee/Report Notice
• From: DRMS
• To: Bear Ranch
• Annual Report Year: 2017
• Permit Index Doc Type: Annual Fee/Report
• 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:

James Spung
Permittee Company:

Bear Ranch LLC
Address:

26767 County Road 12
Somerset, CO 81434

Phone Number:

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

Eric Mangeot
Company:

Eric Mangeot, Resource
Engineer

Address:

909 Colorado Avenue
Glenwood Springs, CO 81601

Phone Number:

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

Robert Gill
Company:

Bear Ranch, LLC
Address:

30682 County Road 12
Somerset, CO 81434

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