2017-11-07_REPORT - M2003001

• Permit No: M2003001
• IBM Index Class Name: Report
• Doc Date: 11/7/2017
• Doc Name: Annual Fee/Report/Map
• From: Bestway Concrete Company
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• Media Type: D
• Archive: No

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Un inion mwrdsimfioate-the of ritttaell owraerr tset�n#•a■.m�- ;;. � „ ;e i rp �
informmlion on record). ifibis information is blank or not current, please type or prize atrrem comae[ ir& mm r
aae�e
Address:
301 Centennial Dr -
Milliken, CO 80543
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Permitting Contact:
Mark Johnson
Company:
Bestway Concrete Company
Address:
301 Centennial Dr.
Milliken, CO 80543
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Inspection Contact:
Mark Johnson
Company:
Bestway Concrete Company
Address:
301 Centennial Dr.
Milliken, CO 80543
Phone Number:
[phone]
Fax Number:
[phone]
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
s6AF-ci
M
, of Documented Designee
Date