2017-08-30_REPORT - M2002004

• Permit No: M2002004
• IBM Index Class Name: REPORT
• Doc Date: 8/30/2017
• Doc Name: Annual Fee/Report/Map
• From: GCC Rio Grande, Inc
• To: DRMS
• Annual Report Year: 2016
• Email Name: ERR
• 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: Gina Nance
Permittee Company: GCC Rio Grande, Inc.
Address: 3372 Lime Road
Pueblo,CO 81004
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Permitting Contact: Gina Nance
Company: GCC Rio Grande, Inc.
Address: 3372 Lime Rd
Pueblo,CO 81004
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Barbara Hodgson
Company: GCC Rio Grande, Inc.
Address: 3372 Lime Rd.
Pueblo,CO 81004
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
1,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being co ted in accordan ith the Division approved mining and reclamation plans.
Si a re of Permittee,Corporate Officer,Owner,or Documented Designee Date
M-AF-01