2017-05-17_REPORT - M1978056

• Permit No: M1978056
• IBM Index Class Name: REPORT
• Doc Date: 5/17/2017
• Doc Name: Annual Fee/Report/Map
• From: Varra Companies
• To: DRMS
• Annual Report Year: 2016
• Email Name: PSH
• Media Type: D
• Archive: No

c�
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: Christopher L.Varra
Pe ittee Company: Varra Companies,Inc.
Address: 8120 Gage St.
Frederick,CO 80516
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Permitting Contact: Bradford Janes
Company: Varra Companies,Inc./Office of
Special Projects
Address: 8120 Gage St.
Frederick,CO 80516
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Christopher L.Varra
Company: Varra Companies,Inc.
Address: 8120 Gage St.
Frederick,CO 80516
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.
1>
Signature of Permittee,Corporate Officer,Owner,or Documented Desiinee Date
M-AF-01