2017-09-29_M2008044_Annual Fee Notice ARCHIVE

• Permit No: M2008044A
• IBM Index Class Name: Report
• Doc Date: 9/29/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Palmer Pipe & Construction, LLC
• Annual Report Year: 2017
• Media Type: D
• Archive: Yes

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:

Pat Palmer
Permittee Company:

Palmer Pipe & Construction,
LLC

Address:

381 Ute Junction Circle
Durango, CO 81303

Phone Number:

[phone]
Fax Number:
Email Address:
Permitting Contact:

Naomi Riess
Company:

Riess Research and Planning
Address:

1480 E. 2nd Ave. #8
Durango, CO 81301

Phone Number:

[phone]
Fax Number: [phone]
Email Address:
Inspection Contact:

Pat Palmer
Company:

Palmer Pipe & Construction,
LLC

Address:

381 Ute Junction Circle
Durango, CO 81303

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 with the Division approved mining and reclamation plans.

Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date
M-AF-01