2017-08-04_REPORT - M2001090

• Permit No: M2001090
• IBM Index Class Name: REPORT
• Doc Date: 8/4/2017
• Doc Name: Annual Fee/Report/Map
• From: Alpine Aggregates, LLC
• To: DRMS
• Annual Report Year: 2016
• Email Name: ACY
• Media Type: D
• Archive: No

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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: Ed MacArthur
Permittee Company: Alpine Aggregates, LLC
Address:
1878 13th Street
Steamboat Springs, CO 80487
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Ed MacArthur
Company: Alpine Aggregates, LLC
Address:
1878 13th Street
Steamboat Springs, CO 80487
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Inspection Contact: Ed MacArthur
Company: Alpine Aggregates,LLC
Address:
1878 13th Street
Steamboat Springs, CO 80487
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
I,the undersigned, hereby state tW the information provided in this report is true and accurate, and that site operations are
being conducted in accordanc h the Division approved mining and reclamation plans.
7 Z /
Signature of PermitteeMorporate Officer,Owner,or Documented Designee Date
M-AF-01