2010-05-12_REPORT - M1979206

• Permit No: M1979206
• IBM Index Class Name: REPORT
• Doc Date: 5/12/2010
• Doc Name: Annual Fee/Report/Map
• From: US Soil Conditioning
• To: DRMS
• Annual Report Year: 2016
• Email Name: TC1
• 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: Joseph E.Lionelle
Permittee Company: U S Soil Conditioning Company
Address: P.O. Box 926
Salida, CO 81201
Phone Number: [phone]
Fax Number: P'A
Email Address:
Jel6us soli
I,y� Gf d
Permitting Contact: J E.Lionelle
Company: U S Soil Conditioning Company
Address: P.O.Box 926
Salida,CO 81201
Phone Number: [phone]
Fax Number: N/n
Email Address:
Inspection Contact: J E.Lionelle
Company: U S Soil Conditioning Company
Address: P.O. Box 926
Salida,CO 81201
s
Phone Number: [phone]
Fax Number: a
Email Address:
� jAs6o; � , tie t
I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in acc dance with the Division approved mining and reclamation plans.
Sign re of Permittee,Corporate Officer,Owner,or Documented Designee Date
M-AF-01