2017-08-03_REPORT - M2014011

• Permit No: M2014011
• IBM Index Class Name: REPORT
• Doc Date: 8/3/2017
• Doc Name: Annual Fee/Report/Map
• From: Strong Mining Company
• To: DRMS
• Annual Report Year: 2016
• Email Name: ACY
• 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: John Strong
Permittee Company: Strong Mining Company
Address: 1505 East 12th Street
Rifle, CO 81650
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: George Strong
Company: Strong Mining Company
Address: PO Box 808
Silt, Co 81652
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Inspection Contact: John Strong
Company: Strong Mining Co
Address: 1505 East 12th Street
Rifle, CO 81650
Phone Number: [phone]
Fax Number: [phone]
Email Address:
1,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are o
being conducted in accordance with the Division appro mg a�i-reclamation plans.
Signature of Permittee or orate Officer.Owner,or Documented Designee Date
M-AF-02
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