2017-05-25_REPORT - M1979034

• Permit No: M1979034
• IBM Index Class Name: REPORT
• Doc Date: 5/25/2017
• Doc Name: Annual Fee/Report/Map
• From: General Operating Company
• To: DRMS
• Annual Report Year: 2017
• Email Name: ACY
• 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: Dan Redmond
Permittee Company: General Operating Company
Address: P.O. Box 223
Yampa,CO 80483
Phone Number: [phone]
Fax Number:
Email Address:
Permitting Contact: Dan Redmond
Company: General Operating Company
Address: P.O. Box 223
Yampa, CO 80483
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Dan Redmond
Company: General Operating Company
Address: P.O. Box 223
Yampa, CO 80483
Phone Number: [phone]
Fax Number:
Email Address:
1,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.
Ks
nature of Permittee.Corporate O is r,Owner,or Documented Designee Date
M-AF-01