2017-09-08_REPORT - M1987079

• Permit No: M1987079
• IBM Index Class Name: REPORT
• Doc Date: 9/8/2017
• Doc Name: Annual Fee/Report/Map
• From: All-Rite Paving
• To: DRMS
• Annual Report Year: 2017
• Email Name: AME
• Media Type: D
• Archive: No

.,on records indicate the following permittee/landowner contact information(blank fields indi Page 5 of 5
cate that we do not have
.ormation on record). If this information is blank or not current, please type or print current contact information:
Permittee Contact: John P. Ary
Permittee Company: All-Rite Paving& Redi-Mix,
Inc.
Address: P.O. Box 165
Canon City. CO 81215
Phone Number: [phone]
Fax Number: [phone]
Email Address: Jp alarycorp.com
Permitting Contact: Jodi Schreiber
Company: All-Rite Paving& Redi-Mix.
Inc.
Address: P.O. Box 165
Canon City. CO 81215
Phone Number: [phone]
Fax Number: [phone]
Email Address: Jodi c arycorp.com
Inspection Contact: Jodi Schreiber
Company: All-Rite Paving& Redi-Mix,
Inc.
Address: P.O. Box 165
Canon City, CO 81215
Phone Number: [phone]
Fax Number: [phone]
Email Address: Jodi ctarycorp.com
1,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
beidg condo e in a cordance with the Division approved mining and reclamation plans.
Sign tuie'of Permiti�e Corpox fficer,Owner,or Documented Designee Date
M-U-01