2017-09-20_REPORT - M1998055

• Permit No: M1998055
• IBM Index Class Name: REPORT
• Doc Date: 9/20/2017
• Doc Name: Annual Fee/Report/Map
• From: Helen Whinnery
• To: DRMS
• Annual Report Year: 2016
• Email Name: DMC
• 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: Helen Whinnery
Permittee Company: Helen Whinnery
Address: 2557 State Hwy 149
Powderhorn,CO 81243
Phone Number: [phone]
Fax Number: [phone]
Email Address: AOFA elkh
Permitting Contact: Shani L.Eastin
Company: Tuttle Applegate Inc
Address: 11990 Grant St. Ste 304
Denver, CO 80233
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact: Shani L.Eastin
Company: Tuttle Applegate Inc
Address: 11990 Grant St. Ste 304
Denver, CO 80233
Phone Number: [phone]
Fax Number: [phone]
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 with the Division approved mining and reclamation plans.
-/J , U�� a -�O l
Signature of Permittee.Corpora Officer,Owner,or Documented Designee 6ate
M-AF-01