2017-05-19_M1984094_Annual Fee Notice ARCHIVE

• Permit No: M1984094A
• IBM Index Class Name: Report
• Doc Date: 5/19/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Sanborn Sand and Gravel/dba Golden Cross Aggregates, Inc.
• 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:

Jodi Fitzpatrick
Permittee Company:

Sanborn Sand and Gravel/dba
Golden Cross Aggregates, Inc.

Address:

601 Bath Street
Metairie, LA 70001

Phone Number:

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

Michael Pfister
Company:

Sanborn Sand and Gravel DBA
Golden Cross Aggregates, Inc.

Address:

P O Box 1180
Alma, CO 80420

Phone Number:

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

Michael Pfister
Company:

Sanborn Sand and Gravel DBA
Golden Cross Aggregates, Inc.

Address:

P O Box 1180
Alma, CO 80420

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