2017-05-02_REPORT - M2008013

• Permit No: M2008013
• IBM Index Class Name: REPORT
• Doc Date: 5/2/2017
• Doc Name: Annual Fee/Report/Map
• From: Riverside Aggregates
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• 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: Rudy Torres
Permittee Company: Riverside Aggregates,LLC
Address: 1750 County Road HH
Lamar,CO 81052
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Rudy Torres
Company: Riverside Aggregates, LLC
Address: 1750 County Road HH
Lamar, CO 81052
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Rudy Torres
Company: Riverside Aggregates,LLC
Address: 1750 County Road HH
Lamar, CO 81052
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.
r �
aatr Permittee,Coraorate Officer,Owner,or Documented Designee Date
M-AF-OI