2017-11-30_REPORT - M1977057

• Permit No: M1977057
• IBM Index Class Name: REPORT
• Doc Date: 11/30/2017
• Doc Name: Annual Fee/Report/Map
• From: Pioneer Sand Company, Inc.
• To: DRMS
• Annual Report Year: 2017
• Email Name: LJW
• Media Type: D
• Archive: No

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Permittee Company: Pioneer Sand Company,Inc.
Address: 630 Plaza Drive
I
Highlands Ranch, CO 80129
Phone Number: [phone] 30
Fax Number:
Email Address: [e-mail]
Permitting Contact: Angela Bellantoni
Company: Environmental Alternatives Inc.
Address: 1107 Main St.
Canon City, CO 81212
Phone Number: [phone]
Fax Number:
Email Address: [e-mail]
Inspection Contact: Julie Sevier
Company: Pioneer Sand Company, Inc.
Address: 630 Plaza Drive, Suite 150
Highlands Ranch, CO 80129
Phone Number: [phone]
Fax Number:
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.
//",-,2t1 7
S' n ture of Permittee,Corporate Officer,Owner,or Documented Designee Date
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