2017-04-04_REPORT - M2008076

• Permit No: M2008076
• IBM Index Class Name: REPORT
• Doc Date: 4/4/2017
• Doc Name: Annual Fee/Report/Map
• From: Robinson Sons Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: MAC
• 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: Daniel Robinson
Permittee Company: Robinson Sons Inc
Address: 1228 East 7th Street
Trinidad, CO 81082
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact:
Company:
Address:
Phone Number:
Fax Number:
Email Address:
Inspection Contact: Joe Gagliano
Company: L J Development, Inc.
Address: 256 N.Merrill Drive
Pueblo West, CO 81007 � E�2s� S4feiCl
CO
Phone Number: [phone]
Fax Number: 719 583-0768 Lt
Email Address: ,
1,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.
C)Qqa N I & ? 2a�- — — :J
Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date
M-AF-01