2017-10-16_REPORT - M1998071

• Permit No: M1998071
• IBM Index Class Name: REPORT
• Doc Date: 10/16/2017
• Doc Name: Annual Fee/Report/Map
• From: Tim & Justin Kuntz Trucking
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• Media Type: D
• Archive: No

C �4�,. P�3aEf3
Division records irk!befonov✓mg -;n_ 1;ai Siw v�Aa ct inft on Ibaank i f1m%--do am hMC
information on recordL If this information is blank or not curreri,please type or print Elmo comact mfomMk .
1Ter�eet��t 13�arr - _-
j uS+V►� �ta�Z,
Tim &Justin Kuntz Trucking, LLC
Address: 53596 CR ZZ
Yuma,CO 80759
Phone Number: [phone]
Fax Number:
Email Address:
Permitting Contact: Justin Kuntz
Company: Tim&Justin Kuntz Trucking,
LLC
Address: 53596 CR ZZ
Yuma, CO 80759
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Justin Kuntz
Company: Tim&Justin Kuntz Trucking,
LLC
Address: 53596 CR ZZ
Yuma, CO 80759
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.
7
Si ature of Permittee, Corporate Officer,Owner,or Documented Designee Date
M-AF-01