2017-09-01_REPORT - M2003052

• Permit No: M2003052
• IBM Index Class Name: REPORT
• Doc Date: 9/1/2017
• Doc Name: Annual Fee/Report/Map
• To: J.E. Cattle LLC
• Annual Report Year: 2016
• Section_Exhibit Name: DRMS
• Email Name: AME
• Media Type: D
• Archive: No

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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: Justin Emick
Permittee Company: J.E. Cattle, LLC
Address: 6424 Hwy 287
Lamar,CO 81052
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact: Justin Emick
Company: J. E. Cattle, LLC
Address: 6424 Hwy 287
Lamar, CO 81052
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact: Justin Emick
Company: J. E. Cattle,LLC
Address: 6424 Hwy 287
Lamar,CO 81052
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
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.
Si re of Permittee,Corporate Officer,Owner,or Documented Designee Date
-AF-01