2017-08-15_REPORT - M2013036

• Permit No: M2013036
• IBM Index Class Name: REPORT
• Doc Date: 8/15/2017
• Doc Name: Annual Fee/Report/Map
• From: LUKE THE DUKE, LLC
• To: DrMS
• Annual Report Year: 2017
• Email Name: LJW
• 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 Avery
Permittee Company: LUKE THE DUKE, LLC
Address: 989 County Road 120
Hesperus, CO 81326
Phone Number: [phone]
Fax Number:
Email Address:
Permitting Contact: Sandi Cunningham
Company: Preliminary to Final, Inc.
Address: 177 County Road 103
Hesperus, CO 81326
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: John Avery
Company: Luke the Duke LLC
Address: 989 County Road 120
Hesperus,CO 81326
Phone Number: [phone]
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 h the Division approved mining and reclamation plans.
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Signature of 'ermittee,Corpora Officer,Owner,or Documented Designee Date
M-AF-01