2017-04-04_REPORT - M1986033

• Permit No: M1986033
• IBM Index Class Name: REPORT
• Doc Date: 4/4/2017
• Doc Name: Annual Fee/Report/Map
• From: Sunnyside Gravel & Excavation
• To: DRMS
• Annual Report Year: 2017
• Email Name: LJW
• Media Type: D
• Archive: No

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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: Alton Hess
Permittee Company: Sunnyside Gravel&Excavation
Address: 9983 Hwy 550
Durango,CO 81303
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact: Alton Hess
Company: Sunnyside Gravel&Excavation
Address: 9983 Hwy 550
Durango,CO 81303
Phone Number: [phone]
Fax Number:
Email Address: sunnysidegravel@frontier.n Bt
Inspection Contact: Alton Hess
Company: Sunnyside Gravel&Excavation
Address: 9983 Hwy 550
Durango,CO 81303
Phone Number: [phone]
Fax Number:
Email Address: sunnysidegravel@frontier. et
1,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are
being cond in actor with the Division approved mining and reclamation plans.
Kid v 3/8/17
Sigma tiW9fte—rjfi—j&LXorggrate icer,Owner•or Documented Designee Date
WAF-01