2017-11-27_REPORT - M1983084

• Permit No: M1983084
• IBM Index Class Name: REPORT
• Doc Date: 11/27/2017
• Doc Name: Annual Fee/Report/Map
• From: Snowstorm Sand & Gravel, LLC
• To: DRMS
• Annual Report Year: 2017
• Email Name: MAC
• 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: arrteSterr
Jnr M uellec
Permittee Company: Snowstorm Sand&Gravel,LLC
Address: P.O. Box 1150 5-57o 9c-n 3 1 cJe
Silverthorne, CO 80498 t-x> r1Jr1 CTwt•A, et)
SISO I
Phone Number: [phone]
c14o>Z(01 - 5-4-$2
Fax Number: [phone] C )2 o .4. 1(o
Email Address: [e-mail]
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J o*r. M J CL.LEee b L Goe6 CO inIQpnl1,65,Coal
Permitting Contact: Paul Barnes
Company: Snowstorm Sand&Gravel,LLC
Address: P.O. Box 1150
Silverthorne, CO 80498
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Paul Barnes
Company: Snowstorm Sand& Gravel,LLC
Address: P.O. Box 1150
Silverthorne, CO 80498
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 conduc = 0
: .- acco I ance with the Divisi►o .pproved mining and reclamation plans.
4
// it/22.12011-
Signature of Per r ' ee Cor•orate I icer I ner,or 1 ocumented Designee Date
M-AF-Q1