2017-04-28_M1982036_Annual Fee Notice ARCHIVE

• Permit No: M1982036A
• IBM Index Class Name: Report
• Doc Date: 4/28/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Peabody Sage Creek Mining, LLC
• 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:

Jerry Nettleton
Permittee Company:

Peabody Sage Creek Mining,
LLC

Address:

29515 RCR27
36600 Routt County Road 27
Oak Creek, CO 80467

Phone Number:

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

Mike W. Ludlow
Company:

Peabody Sage Creek Mining
LLC

Address:

36600 Routt County Road #27
Hayden, CO 81639

Phone Number:

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

Mike W. Ludlow
Company:

Peabody Sage Creek Mining
LLC

Address:

36600 Routt County Road #27
Hayden, CO 81639

Phone Number:

[phone]
Fax Number:
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