2017-07-31_REPORT - M2001038

• Permit No: M2001038
• IBM Index Class Name: REPORT
• Doc Date: 7/31/2017
• Doc Name: Annual Fee/Report/Map
• From: Albert Frei & Sons Inc.
• To: DRMS
• Annual Report Year: 2016
• Email Name: JLE
• 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: Bernard S.Frei
Permittee Company: Albert Frei&Sons Inc.
Address: P O Box 700
Henderson,CO 80640
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
albertfreiandsons.com
Permitting Contact: Bernard S.Frei
Company: Albert Frei&Sons,Inc
Address: P O Box 700
Henderson,CO 80640
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
albenfreiandsons.com
Inspection Contact: Bernard S.Frei
Company: Albert Frei&Sons,Inc
Address: P O Box 700
Henderson,CO 80640
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
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/
Sign ure of Permittee,Corporate Officer,Owner,or Documented Designee Date
WA-a1
Note:
Review attached page for details on current
mine status and activities