2017-11-14_REPORT - M2005071

• Permit No: M2005071
• IBM Index Class Name: Report
• Doc Date: 11/14/2017
• Doc Name: Annual Fee/Report/Map
• From: Benson Brothers
• To: DRMS
• Annual Report Year: 2017
• Email Name: SJM
• Media Type: D
• Archive: No

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Bensonj3w-bwn (-LC-
Address:
21240 Austin Rd
Austin, CO 81410
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
[e-mail]
Permitting Contact:
Michael L. Ripp
Company:
MVR Resources, Inc.
Address:
P.O. Box 54
3990 Old Wagon Road
Delta, CO 81416
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
Inspection Contact:
-Ed Benson
14ans Se.r,son
Company:
Benson Brothers LLC -
LC -Address:
Address:
21240 Austin Rd
Austin, CO 81410
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 conducte n accordance yrifriifirE)jvision approved mining and reclamation plans.
of
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or Documented Designee D to