2017-04-17_M2015019_Annual Fee Notice ARCHIVE

• Permit No: M2015019A
• IBM Index Class Name: Report
• Doc Date: 4/17/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Grand County Water and Sanitation District Number 1
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

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:

Bruce Hutchins
Permittee Company:

Grand County Water and
Sanitation District Number 1

Address:

P.O. Box 3077
Winter Park, CO 80482

Phone Number:

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

Jeremy Deuto
Company:

GEI Consultants, Inc.
Address:

4601 DTC Blvd., Suite 900
Denver, CO 80237

Phone Number:

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

Jeremy Deuto
Company:

GEI Consultants, Inc.
Address:

4601 DTC Blvd., Suite 900
Denver, CO 80237

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-04