2017-05-30_M1983193_Annual Fee Notice ARCHIVE

• Permit No: M1983193A
• IBM Index Class Name: Report
• Doc Date: 5/30/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: R E Monks Construction Co.
• 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:

Leroy Garcia
Permittee Company:

R E Monks Construction Co.
Address:

P.O. Box 25579
Colorado Springs, CO 80936

Phone Number:

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

William Schenderlein
Company:

Applegate Group, Inc.
Address:

1499 W. 120th Ave., Ste. 200
Denver, CO 80234

Phone Number:

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

Greig Newlon
Company:

R E Monks Construction Co.
Address:

P.O. Box 25579
Colorado Springs, CO 80936-
5579

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