2017-07-26_M1998055_Annual Fee Notice ARCHIVE

• Permit No: M1998055A
• IBM Index Class Name: Report
• Doc Date: 7/26/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Helen Whinnery
• 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:

Helen Whinnery
Permittee Company:

Helen Whinnery
Address:

2557 State Hwy 149
Powderhorn, CO 81243

Phone Number:

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

Shani L. Eastin
Company:

Tuttle Applegate Inc
Address:

11990 Grant St. Ste 304
Denver, CO 80233

Phone Number:

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

Shani L. Eastin
Company:

Tuttle Applegate Inc
Address:

11990 Grant St. Ste 304
Denver, CO 80233

Phone Number:

[phone]
Fax Number: [phone]
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