2017-12-01_REPORT - M2003058

• Permit No: M2003058
• IBM Index Class Name: REPORT
• Doc Date: 12/1/2017
• Doc Name: Annual Fee/Report/Map
• From: Glenn E. Sessions & Sons
• To: DRMS
• Annual Report Year: 2017
• Email Name: PSH
• 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: Jaime Sessions
Permittee Company: Glenn E Sessions & Sons, Inc.
Address: 33492 Hwy 125
P.O. Box 1076
Walden,CO 80480
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: L-� epkensen _
Ja; 3.15510-0 S
Company: Glenn E Sessions& Sons,Inc.
Address: 33492 Hwy 125
P.O. Box 1076
Walden, CO 80480
Phone Number: [phone]
Fax Number: [phone]
Email Address: J m
ai m2, c�P si0�')S ahod-coin
Inspection Contact: Joe Sessions
Company: Glenn E Sessions&Sons, Inc.
Address: 33492 Hwy 125
P.O. Box 1076
Walden, CO 80480
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.
Signa of Pe ee Cor orate icer,Owner,or Documented Designee Date
M-AF-01