2017-11-06_REPORT - M1999089

• Permit No: M1999089
• IBM Index Class Name: REPORT
• Doc Date: 11/6/2017
• Doc Name: Annual Fee/Report/Map
• From: Byron J. & LaLani R. Wheathers
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• 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: Byron Weathers
Permittee Company: Byron J. & LaLani R. Weathers
Address: 11955 CR 37
Yuma,CO 80759
Phone Number: [phone]
Fax Number:
Email Address: Byron(d.weathersfarms.net
Permitting Contact: Stevan L.O'Brian
Company: Environment, Inc.
Address: 7985 Vance Dr Ste 205A
Arvada,CO 80003
Phone Number: [phone]
Fax Number: [phone]
Email Address:
[e-mail]
Inspection Contact: Byron Weathers
Company: Byron Weathers
Address: 11955 CR 37
Yuma,CO 80759
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
1, the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations arc
being conducted in accordance with the Division approved mining and reclamation plans.
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Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date
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