2017-07-18_REPORT - M1983193

• Permit No: M1983193
• IBM Index Class Name: REPORT
• Doc Date: 7/18/2017
• Doc Name: Annual Fee/Report/Map
• From: R.E. Monks Const.
• To: DRMS
• Annual Report Year: 2016
• 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: 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:
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.
ignatu a of Airmittee.Corporate Officer,Owner,or Documented Designee Date
M-AF-01