2017-12-18_REPORT - M2011026

• Permit No: M2011026
• IBM Index Class Name: REPORT
• Doc Date: 12/18/2017
• Doc Name: Annual Fee/Report/Map
• From: Keyah Grande Lodge & Elk Ranch
• To: DRMS
• Annual Report Year: 2017
• Email Name: LJW
• Media Type: D
• Archive: No

Termmee Lom,party: Keyah Grande Lodge w d1M
Ranch
Address: 13211 Highway 160 West
Pagosa Springs, CO 81147
Phone Number: [phone]
Fax Number: [phone]
Email Address: [e-mail]
Permitting Contact: Clinton Casey
Company: SME Environmental
Address: 555 Rivergate Lane BI-101
Durango, CO 81301
Phone Number: [phone]
Fax Number: [phone]
Email Address:
Inspection Contact:
Company:
Address:
Phone Number:
Fax Number:
Email Address:
I,the undersi ne ,hereb stat that the'nfo provided in this report is true and accurate, and that site operations are
being cond in a or nce With Div' ion proved mining and reclamation plans.
Signature of Permittee or to Officer,Owner,or Documented Designee Date
M-AF-01