2017-06-06_REPORT - M2014070

• Permit No: M2014070
• IBM Index Class Name: Report
• Doc Date: 6/6/2017
• Doc Name: Annual Fee/Report/Map
• From: VESCO Consulting Services, LLC
• To: DRMS
• Annual Report Year: 2016
• Email Name: ECS
• 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:
Michael Miller
Permittee Company:
VESCO Consulting Services,
LLC
Address:
1624 E Hwy 34
P.O. Box 336626
Greeley, CO 80633
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Permitting Contact:
Greg Lewicki
Company:
Greg Lewicki & Associates
Address:
11541 Warrington Court
Parker, CO 80138
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Inspection Contact:
Michael Miller
Company:
Address:
1624 E Hwy 34
P.O. Box 336626
Greeley, CO 80633
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
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
M -AF -01
Date