2017-06-14_REPORT - M2000046

• Permit No: M2000046
• IBM Index Class Name: REPORT
• Doc Date: 6/14/2017
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: TC1
• 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: Julie Sevier
Permittee Company: Pioneerl Sand Company,Inc.
Address: 5000 Northpark Dr.
Colorado Springs, CO 80918
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact:
Company: Pioneer Sand Company Inc
Address: P.O. Box 7650
Colorado Springs, CO 80933
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Mike Ausburn
Company: Pioneer Sand Company Inc
Address: P.O. Box 7650
Colorado Springs, CO 80933
Phone Number: (719) 5Q9-8100
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 nducted in acmj"'t'
the Division approved mining and reclamation plans.
----� & -- 3 (7
. &�_Sig ture of Per tee,Corporate Officer,Owner,or Documented Desienee Date
M- -OI