2017-11-30_REPORT - M2014027

• Permit No: M2014027
• IBM Index Class Name: REPORT
• Doc Date: 11/30/2017
• Doc Name: Annual Fee/Report/Map
• From: Colorado Milling and Exploration
• To: DRMS
• Annual Report Year: 2017
• Email Name: SJM
• 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: Robert Gydesen
Permittee Company: Colorado Mining and
Exploration, LLC
Address: 502 S. Wisconsin Ave.
Gunnison, CO 81230
Phone Number: [phone]
Fax Number:
Email Address: Dnr—dnnsminadmingstate.co.us
Permitting Contact: Bob Gydesen
Company: Colorado Mining and
Exploration,LLC
Address: 502 S. Wisconsin Ave..
Gunnison, CO 81230
Phone Number: [phone]
Fax Number:
Email Address:
Inspection Contact: Bob Gydesen
Company: Colorado Mining and
Exploration,LLC
Address: 502 S. Wisconsin Ave.
Gunnison, CO 81230
Phone Number: [phone]
Fax Number:
Email Address:
I,the undersigned,here stat tlit the information provided in this report is true and accurate, and that site operations are
being conducted in ac o d nc w th the Division approved mining and reclamation plans.
Signature of PermItt Cor "orate Officer,Owner,or Documented Designee Date
M-AF-02