2017-07-21_REPORT - M1986061

• Permit No: M1986061
• IBM Index Class Name: REPORT
• Doc Date: 7/21/2017
• Doc Name: Annual Fee/Report/Map
• From: Oldcastle SW Group, Inc. dpa Four Corners Materials
• To: DRMS
• Annual Report Year: 2016
• Email Name: LJW
• 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: Matt R. Carnahan
Permittee Company: Oldcastle SW Group, Inc. dba Four
Corners Materials
Address: P.O. Box 1969
Bayfield, CO 81122-1969
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Peter M.Kearl
Company: Oldcastle SW Group, Inc. dba Four
Corners Materials
Address: P.O. Box 1969
Bayfield, CO 81122-1969
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Peter M.Kearl
Company: Oldcastle SW Group, Inc. dba Four
Corners Materials
Address: P.O. Box 1969
Bayfield,CO 81122-1969
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 a9cordance with the Division approved mining and reclamation plans.
c�7 I ZOI
Signature of Per it ee Cor orate Officer,Owner,or Documented Designee Date
M-AF-01