2017-08-03_REPORT - M2008050

• Permit No: M2008050
• IBM Index Class Name: REPORT
• Doc Date: 8/3/2017
• Doc Name: Annual Fee/Report/Map
• From: Nuvemco, LLC
• To: DRMS
• Annual Report Year: 2016
• Email Name: SJM
• 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: Craig Howell
Permittee Company: Nuvemco, LLC
Address: P.O. Box 297
Naturita, CO 81422
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
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Permitting Contact: Linda S. Carter
•tea •_ ,
Company: Nuvemco, LLC
Address: P.O. Box 1120 }
Broomfield,CO 80038 -
Phone Number: [phone]
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Fax Number: [phone]
Email Address: v
Inspection Contact: Henry M. Carter
Company: Nuvemco. LLC
Address: P.O. Box 1120 --,
Broomfield,CO 80038
Phone Number: [phone]
Fax Number: [phone] - 1``" -.7 .-
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 Pe m' tee Corr orate Officer,Owner,or ocumented Designee Date
M-AF-02