2017-08-01_REPORT - M2006016

• Permit No: M2006016
• IBM Index Class Name: REPORT
• Doc Date: 8/1/2017
• Doc Name: Annual Fee/Report/Map
• From: McStone Aggregates, LLC
• To: DRMS
• Annual Report Year: 2016
• Email Name: LJW
• Media Type: D
• Archive: No

M2006-016 PERKINS PIT Page 5of5
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: Casey McClellan
Permittee Company: McStone Aggregates,LLC
Address: P.O.Box 1525
Dolores,CO 81323
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: myowuENYOIX Nathan A. Barton, CE, PE, DEE
Company: WASTELINE, Inc.
Address: 3WHYTYW&M PO Box 88
Cortez,CO 81321 Cortez, CO 81321-0088
Phone Number: X5W41 970-564-1380 or 605-939-0650
Fax Number: XMW�m
Email Address: [e-mail]
Inspection Contact: Same as Above: Casey Dr Nathan
Company:
Address:
Phone Number:
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 accordance with the Division approved mining and reclamation plans.
'7 Casey McClellan, Owner 18 July 2017
Signature of Permittee.Corporate Officer,Owner,or Documented Designee Date
N-AF-01
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