2017-09-29_REPORT - M1977057

• Permit No: M1977057
• IBM Index Class Name: Report
• Doc Date: 9/29/2017
• Doc Name: Annual Fee Notice
• From: DRMS
• To: Pioneer Sand Company, Inc.
• Annual Report Year: 2017
• 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:

Julie Sevier
Permittee Company:

Pioneer Sand Company, Inc.
Address:

630 Plaza Drive
Highlands Ranch, CO 80129

Phone Number:

[phone]
Fax Number:
Email Address: [e-mail]
Permitting Contact:

Angela Bellantoni
Company:

Environmental Alternatives Inc.
Address:

1107 Main St.
Canon City, CO 81212

Phone Number:

[phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact:

Julie Sevier
Company:

Pioneer Sand Company, Inc.
Address:

630 Plaza Drive, Suite 150
Highlands Ranch, CO 80129

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.

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