2017-10-30_REPORT - M1990093

• Permit No: M1990093
• IBM Index Class Name: REPORT
• Doc Date: 10/30/2017
• Doc Name: Annual Fee/Report/Map
• From: High Flume Gravel Pit, Inc
• To: DRMS
• Annual Report Year: 2017
• Email Name: LJW
• 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: Matt R. Carnahan
Permittee Company: High Flume Gravel Pit, Inc.
Address: C/o Four Corners Materials
P.O. Box 1969
Bayfield,CO 81122-1969
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: S2vrNe 2S -?e vtv 1 i-L eG Carl-2c4---
Company: -- • t. . • , --, --
Address: e.
Phone Number: {9
Fax Number:
Email Address:
Inspection Contact: Dale L.Trenkle
Company: High Flume Gravel Pit, Inc.
Address: 350 High Flume Loop
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 ccordance 'th the Division approved mining and reclamation plans.
�0/21/201i
Signature of Per `' tee,Corporate Officer,Owner,or Documented Designee Date
M-AF-Q1