2017-05-03_REPORT - M2014064

• Permit No: M2014064
• IBM Index Class Name: REPORT
• Doc Date: 5/3/2017
• Doc Name: Returned Mail
• From: DRMS
• To: VCA Aggregates
• Email Name: ECS
• 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: Sandy Van Cleave
Permittee Company: VCA Aggregates LLC
Address: 4558 W Pioneer Ln
P.O. Box 336953
Greeley, CO 80633
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact: Sandy Van Cleave
Company: VCA Aggregates LLC
Address: 4558 W Pioneer Ln
P.O. Box 336953
Greeley,CO 80633
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact: Sandy Van Cleave
Company: VCA Aggregates LLC
Address: 4558 W Pioneer Ln
P.O. Box 336953
Greeley,CO 80633
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
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,Coruorate Officer,Owner,or Documented Designee Date
M-AF-01